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Maryland 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
$18.64 / $28.72 / $574.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $19.28 / $27.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $37.31 / $46.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.23 / $14.65 / $22.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $24.97