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Iowa rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $6.24 / $7.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $6.24 / $8.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $11.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $11.25 / $14.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $9.91 / $13.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $12.10 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.25 / $14.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.42 / $11.45 / $13.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $13.30 / $21.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.20 / $13.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $9.36 / $9.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $9.36 / $9.36