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New Hampshire rates for HCPCS A6022

Collagen dressing, sterile, size more than 16 sq in but less than or equal to 48 sq in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $18.20 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $16.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.98 / $25.70
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $31.62