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Louisiana 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
$16.85 / $20.76 / $1,511.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $20.76 / $23.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.56 / $43.67 / $61.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $18.22 / $18.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.56 / $1,234.56 / $1,234.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $17.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $13.94 / $20.79