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Oregon rates for HCPCS A5121

Skin Barrier; Solid 6 X 6 Or Equivalent Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $7.64 / $30.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $18.46 / $22.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $9.13 / $10.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $8.47 / $10.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $10.17 / $11.45
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $10.41 / $10.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $8.94 / $10.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $9.11 / $11.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $11.45 / $11.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.42 / $8.46