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New Mexico 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
$21.35 / $21.35 / $21.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $17.63 / $21.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.61 / $148.16 / $275.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $23.47 / $27.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $33.78 / $47.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $23.12 / $25.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $41.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $12.46 / $18.76