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Indiana rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $8.42 / $9.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $6.33 / $8.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $4.44 / $8.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $6.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.37 / $10.80 / $14.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $10.97 / $13.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $10.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.69 / $6.81