go back

Michigan 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
$22.37 / $22.37 / $353.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $20.07 / $23.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.63 / $88.60 / $168.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $30.56 / $38.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $39.65 / $48.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.85 / $38.19 / $68.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $15.00 / $42.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $21.23 / $353.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $21.23 / $35.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $16.68 / $26.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $13.79 / $23.02