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California 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
$7.87 / $35.71 / $495.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $10.08 / $82.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $11.34 / $19.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $27.32
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.84 / $43.31 / $62.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $74.23 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $32.32 / $39.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $36.72 / $67.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.64 / $138.01 / $139.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.31 / $146.31 / $220.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $60.22 / $60.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.02 / $29.38 / $39.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $31.10
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $55.43 / $55.43
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $8.78 / $23.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $13.24 / $32.90