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Tennessee rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $5.38 / $6.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $6.42 / $9.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $6.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.36 / $9.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $53.42 / $66.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.84 / $6.65