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Illinois rates for HCPCS A6233

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing

Facilitymedian $30 · 10th–90th $15–$1550%20%10th90th$30Professionalmedian $17 · 10th–90th $11–$280%10%10th90th$17$10.0$20.0$50.0$100.0$200.0

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
$15.14 / $15.14 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $60.26 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.02 / $12.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $64.57
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
$34.67 / $34.67 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $21.38 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.49 / $20.42