go back

Alaska rates for HCPCS A6021

Collagen Dressing Sterile Size 16 Sq. In. Or Less Each (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.28 / $22.28 / $539.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.96 / $27.96 / $27.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.12 / $27.96 / $39.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $27.91 / $88.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.69 / $28.69 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $28.69 / $28.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.12 / $27.96 / $39.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $24.42 / $34.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.20 / $16.82 / $73.26