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California rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.06 / $30.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $4.00 / $30.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $8.85 / $8.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.85 / $10.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.66 / $10.01
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $14.26 / $22.03
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $22.36 / $39.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $6.26 / $10.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $10.41 / $12.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.29 / $16.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $53.42 / $66.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $9.21 / $10.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $9.50
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $12.19 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.42 / $10.14