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South Carolina 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
$23.49 / $23.49 / $23.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $23.49 / $25.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $30.59 / $53.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $2.93 / $34.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $25.84 / $51.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.00 / $17.66