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Idaho 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 / $12.01 / $12.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.26 / $6.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $8.43 / $12.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $9.28 / $9.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $8.85 / $15.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.31 / $9.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.20 / $6.86