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New York rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $7.08 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $6.03 / $8.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.59 / $12.88
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.41 / $7.41
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $15.85 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $8.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $14.79 / $34.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.12 / $16.98
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $7.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.76
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.71 / $8.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $4.07 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.57 / $7.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.46 / $7.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.76