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Illinois rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $74.13 / $158.49
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.74 / $3.24