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Arkansas rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $8.39 / $8.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $8.39 / $8.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $13.22 / $13.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $8.85 / $9.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $9.97 / $9.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $7.36
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $7.48 / $7.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.69 / $6.26