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Maine rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.93 / $5.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $4.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $6.26 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.32 / $7.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $8.43 / $8.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.93 / $7.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $5.15 / $11.85