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New Hampshire 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
$15.44 / $15.44 / $18.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $15.44 / $19.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $13.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.43 / $34.43 / $34.43
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 / $36.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.65 / $25.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.75 / $23.70 / $34.84