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Illinois rates for HCPCS A6222

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Facilitymedian $3 · 10th–90th $1–$170%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$1.0$5.0$20.0$100.0

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
$1.00 / $1.00 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.70 / $2.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $6.61 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.86
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.16 / $7.24
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
$3.89 / $3.89 / $3.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.40 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.48 / $2.34