go back

North Dakota 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
$21.37 / $21.37 / $21.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $18.73 / $21.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.87 / $32.47 / $35.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.68 / $51.68 / $59.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $34.47 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.37 / $29.38 / $52.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $12.46 / $29.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $12.21 / $29.38