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Texas rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $6.46 / $7.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.55 / $8.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $12.19 / $28.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $5.33
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.98 / $9.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $9.97 / $9.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $53.42 / $66.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $7.48 / $10.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $8.81 / $9.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $7.13 / $9.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $8.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.80 / $6.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $9.97