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Illinois rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.24 / $1.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $12.40 / $24.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.61 / $1.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.25 / $5.46
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
$2.78 / $2.78 / $2.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $3.00 / $3.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.07 / $1.84