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Illinois rates for HCPCS A6219

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Facilitymedian $3 · 10th–90th $1–$110%5%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$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
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $2.82 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.35
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.45 / $3.31
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.07 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.68 / $1.05