go back

Illinois rates for HCPCS A6231

Gauze Impregnated Hydrogel For Direct Wound Contact Pad Size 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $3.67 / $6.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.81 / $5.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $14.04 / $56.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.90 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.86 / $15.82
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
$8.49 / $8.49 / $8.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $8.88 / $9.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.26 / $5.59