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Illinois rates for HCPCS A6242

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $18.20 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.31 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $8.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.91 / $20.42
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
$10.96 / $10.96 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $6.76 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.27 / $6.03