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Oregon rates for HCPCS A5121

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

Facilitymedian $10 · 10th–90th $8–$100%50%10th90th$10Professionalmedian $6 · 10th–90th $3–$120%10%10th90th$6$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $19.50 / $22.39
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $7.94 / $10.72
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $11.75
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $10.23 / $10.47
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.47 / $11.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $8.91 / $11.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.00 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.98 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.47 / $8.51