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Illinois rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Facilitymedian $39 · 10th–90th $10–$7760%20%10th90th$39Professionalmedian $13 · 10th–90th $9–$890%10%20%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $123.03 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $19.05
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $51.29 / $158.49
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.72 / $19.50