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Idaho 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
$196.09 / $196.09 / $387.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $21.29 / $39.86
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
$16.64 / $25.21 / $41.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $27.91 / $29.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.54 / $51.42 / $57.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.57 / $20.57 / $30.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $12.46 / $22.99