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Illinois rates for HCPCS A6258

Transparent Film More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $9.83 / $10.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.50 / $5.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $15.20 / $52.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $4.51 / $4.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $6.90 / $14.59
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
$7.83 / $7.83 / $7.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $8.43 / $9.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $3.00 / $5.32