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Indiana 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
$25.16 / $25.16 / $30.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $17.34 / $25.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.03 / $13.03 / $25.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $18.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $38.19 / $44.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $35.26 / $41.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $30.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $14.65 / $22.07