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Kansas rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $11.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.55 / $11.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $11.02 / $11.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $10.85 / $10.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $14.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $9.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $5.20 / $13.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.69 / $7.00