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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
$4.75 / $4.75 / $8.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $4.91 / $7.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $17.19 / $73.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $6.35 / $6.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $5.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $9.23 / $20.50
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
$11.00 / $11.00 / $11.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $11.84 / $12.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $4.22 / $7.25