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Rhode Island rates for HCPCS A6022

Collagen Dressing Sterile Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. Each (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $12.13 / $12.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $12.83 / $22.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.53 / $58.83 / $66.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $15.43 / $25.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $14.65 / $24.42