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North Carolina 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
$25.72 / $1,239.66 / $1,239.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $25.72 / $25.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.54 / $28.25 / $53.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $22.04 / $23.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $26.00 / $42.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $22.07 / $50.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $36.60 / $57.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $14.65 / $22.99
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.64 / $85.00 / $139.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.31 / $146.31 / $220.35