go back

Wisconsin rates for HCPCS A6011

Collagen based wound filler, gel/paste, per g of collagen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.85 / $2.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $3.19 / $3.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $6.83 / $6.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $10.53 / $14.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $4.69 / $6.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.59 / $3.19
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.63 / $3.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $3.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.63 / $3.19
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $3.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $4.79 / $8.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $6.48 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $14.04 / $15.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.92