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New York 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
$12.78 / $18.00 / $30.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $16.64 / $27.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $47.12
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.76 / $24.47 / $24.47
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $24.47 / $24.47
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $53.77 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $39.65 / $63.75
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $20.07 / $20.07
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $18.05 / $20.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.43 / $34.43 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $50.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.63 / $31.75
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $21.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $18.05 / $20.07