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North Carolina rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $9.11 / $9.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $5.31 / $6.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $13.85 / $15.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $7.81 / $7.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $11.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $9.11 / $12.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $16.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.94 / $7.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.42 / $53.42 / $66.38