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Oregon 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
$26.48 / $103.74 / $381.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $18.73 / $82.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.96 / $58.37 / $68.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $26.97 / $49.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $27.91 / $30.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.31 / $28.69 / $33.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.31 / $29.38 / $29.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $27.96 / $49.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $25.72 / $31.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $32.32 / $32.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $12.46 / $23.77