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South Carolina 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
$8.32 / $8.32 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $8.32 / $9.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.61 / $12.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $6.26 / $6.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $7.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $9.00 / $16.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.03 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.69 / $6.64