go back

Washington, DC rates for HCPCS A5121

Skin Barrier; Solid 6 X 6 Or Equivalent Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $5.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $4.55 / $6.46