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Illinois 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
$16.50 / $43.34 / $57.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $17.05 / $25.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.20 / $74.20 / $257.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $22.04 / $22.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $17.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $32.32 / $71.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.19 / $38.19 / $38.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $39.96 / $44.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $14.65 / $25.15