go back

Alaska rates for HCPCS A5121

Skin barrier; solid, 6 x 6 or equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $11.30 / $11.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $6.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $2.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $11.28 / $17.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $11.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $11.59 / $23.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $9.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $9.44 / $14.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $5.93 / $11.36