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Massachusetts 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
$4.51 / $4.51 / $4.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.51 / $7.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.29 / $21.89 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $7.00 / $10.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.66 / $19.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $6.50 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $11.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $8.43 / $8.85
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $5.38 / $5.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $5.15 / $10.10
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.15 / $9.15