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Pennsylvania 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
$14.40 / $14.40 / $22.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $18.00 / $22.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
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
Professional
Modifier
Low / Median / High Price
$30.85 / $39.78 / $42.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $14.40 / $22.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $18.00 / $24.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.56 / $408.56 / $408.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $36.40 / $57.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.43 / $34.43 / $34.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $27.96 / $27.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $27.96 / $27.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $14.65 / $24.42