go back

Nebraska rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $10.07 / $10.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $11.45 / $11.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $11.45 / $17.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $10.41 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $5.20 / $8.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.42 / $11.45 / $14.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $13.38 / $22.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $5.20 / $6.81