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New Jersey rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.47 / $8.22
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 / $7.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $8.43 / $9.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.24 / $6.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.55 / $7.60