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Illinois rates for HCPCS A5121

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

Facilitymedian $11 · 10th–90th $5–$600%20%10th90th$11Professionalmedian $6 · 10th–90th $4–$110%20%10th90th$6$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $10.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.61 / $6.92
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $23.44 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.76 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $11.22
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.22 / $17.78
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.49 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.07 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.25 / $8.51