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Ohio 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
$12.56 / $18.64 / $62.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $18.64 / $23.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $16.94 / $38.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $36.72 / $44.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $38.19 / $62.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $24.64 / $34.43
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $31.53 / $36.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.52 / $18.64