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Illinois rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.42 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $3.83 / $3.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.21 / $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
$0.36 / $0.45 / $0.72