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North Dakota rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.24 / $7.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.73 / $11.51 / $11.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $11.36 / $14.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $7.58 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.84 / $8.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.42 / $10.50