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Illinois rates for HCPCS A6212

Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $23.17 / $134.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.88 / $11.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.68 / $78.48 / $157.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $10.18 / $10.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $8.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $14.76 / $32.88
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
$17.64 / $17.64 / $17.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $19.00 / $20.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.77 / $11.98