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New Hampshire rates for HCPCS A6021

Collagen dressing, sterile, size 16 sq in or less, each

Facilitymedian $19 · 10th–90th $15–$320%20%40%10th90th$19Professionalmedian $20 · 10th–90th $12–$260%20%10th90th$20$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.20 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $23.99 / $25.70
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $32.36 / $35.48