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Illinois rates for HCPCS A6228

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.84 / $1.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $2,642.40 / $9,626.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $720.00 / $720.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.54 / $150.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.90 / $1.45