go back

Maine 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 / $16.85 / $334.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $16.85 / $20.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $23.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.85 / $16.85 / $334.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $16.85 / $16.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.65 / $33.70