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Missouri 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
$4.46 / $7.26 / $10.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $5.85 / $11.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.80 / $9.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $9.24 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $5.20 / $8.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $5.20 / $7.37