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Texas 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
$13.01 / $20.81 / $381.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $19.29 / $25.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.47 / $32.47 / $80.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $13.98 / $13.98
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $24.20 / $29.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.56 / $1,234.56 / $1,234.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $34.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.64 / $138.01 / $139.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.31 / $146.31 / $220.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.29 / $23.12 / $36.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $27.91 / $29.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $31.47 / $57.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $23.12 / $37.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $24.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $13.55 / $17.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $29.38 / $39.65