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Arizona rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.31 / $9.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $8.44 / $15.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.79 / $10.62
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 / $5.32 / $7.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $6.34 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.42 / $6.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $4.42 / $6.66