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Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$4.49 / $4.49 / $7.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $5.61 / $8.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $9.15 / $9.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $12.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.96 / $11.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $6.17 / $7.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.49 / $7.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.61 / $8.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $13.00 / $18.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $12.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $11.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $8.71 / $8.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $8.71 / $9.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.55 / $8.24