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Louisiana rates for HCPCS A5121

Skin Barrier; Solid 6 X 6 Or Equivalent Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $7.36 / $7.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $7.36 / $8.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $15.49 / $21.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $6.45 / $6.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.80 / $6.44