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Illinois rates for HCPCS A6196

Alginate Or Other Fiber Gelling Dressing Wound Cover Pad Size 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $5.78 / $381.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.97 / $9.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $25.95 / $90.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $7.71 / $7.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $11.31 / $24.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.36 / $13.36 / $13.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $14.39 / $15.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $5.13 / $8.55