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New Hampshire rates for HCPCS A6023

Collagen Dressing Sterile Size More Than 48 Sq. In. Each (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.72 / $139.72 / $167.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.66 / $139.72 / $179.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.18 / $114.18 / $114.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.60 / $311.60 / $311.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.78 / $135.78 / $135.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.83 / $216.83 / $328.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.44 / $132.65 / $161.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.83 / $196.71 / $250.36