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Ohio rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $6.33 / $18.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.33 / $8.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.86 / $8.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.99 / $12.96
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $9.97 / $9.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $9.97 / $13.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $9.97 / $21.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $6.26 / $12.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.36
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $6.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.17 / $10.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $4.68 / $6.80