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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.77 / $1.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.39 / $9.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.46 / $3.22
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
$1.73 / $1.73 / $1.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.86 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.67 / $1.13