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Minnesota 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
$6.24 / $6.24 / $6.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.24 / $7.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $10.43 / $13.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $9.50 / $9.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $30.00 / $83.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $11.93 / $14.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $28.79 / $65.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $11.25 / $11.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $9.78 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.72 / $9.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.88 / $16.23