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Illinois rates for HCPCS A6217

Gauze, nonimpregnated, nonsterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing

Facilitymedian $4 · 10th–90th $2–$80%10%20%10th90th$4Professionalmedian $1 · 10th–90th $0–$10%50%10th$1$0.1$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $3.98 / $7.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.50 / $0.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.17
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.47 / $158.49
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.19 / $0.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.22 / $0.37