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Illinois rates for HCPCS A6254

Specialty Absorptive Dressing Wound Cover Pad Size 16 Sq. In. Or Less With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.97 / $1.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $9.68 / $19.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.97 / $4.26
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
$2.17 / $2.17 / $2.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $2.34 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.83 / $1.43