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Illinois rates for HCPCS A6253

Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $4.97 / $8.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $5.14 / $7.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $22.34 / $77.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.64 / $6.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $5.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $9.97 / $21.44
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
$11.51 / $11.51 / $11.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $12.39 / $13.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $4.42 / $7.58