go back

West 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
$16.20 / $16.20 / $16.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $18.14 / $19.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $39.65 / $48.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $68.12 / $68.12
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 / $142.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $14.71 / $29.38