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Virginia 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
$18.14 / $18.14 / $51.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $18.14 / $22.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $19.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $34.36 / $47.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $23.00 / $36.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $45.00 / $68.86
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.02 / $26.28 / $49.95
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $26.28 / $49.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $14.65 / $24.42