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Illinois rates for HCPCS A6261

Wound Filler Gel/Paste Per Fluid Ounce Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $123.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.68 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $73.47 / $150.00
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
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.80 / $4.22