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Illinois rates for HCPCS A6231

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing

Facilitymedian $8 · 10th–90th $3–$380%20%10th90th$8Professionalmedian $4 · 10th–90th $3–$60%10%20%10th90th$4$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
$3.02 / $3.02 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $14.79 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.90 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.46 / $15.85
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
$8.51 / $8.51 / $8.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $5.25 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $5.37