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Massachusetts 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
$12.83 / $12.83 / $12.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $14.35 / $18.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.96 / $43.59 / $139.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $28.69 / $146.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $20.05 / $59.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.13 / $19.22 / $19.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $17.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.75 / $19.75 / $19.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $23.95
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.70 / $360.70 / $721.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.64 / $139.56 / $139.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $16.82 / $146.31
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $18.76 / $18.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $16.82 / $33.08