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Oklahoma rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $6.20 / $7.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $6.11 / $6.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $10.41 / $10.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.11 / $9.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.52 / $8.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $6.51 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.96 / $10.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.42 / $6.34