go back

South Carolina rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $8.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.47 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.31 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $11.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.46 / $7.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $9.12 / $16.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $3.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $4.07 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.01 / $6.76