go back

New Hampshire rates for HCPCS A6011

Collagen Based Wound Filler Gel/Paste Per Gram Of Collagen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.67 / $2.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $3.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.35 / $3.00