go back

Utah rates for HCPCS A5121

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

Facilitymedian $2 · 10th–90th $2–$60%50%90th$2Professionalmedian $7 · 10th–90th $2–$460%10%10th90th$7$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $6.76 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $7.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.61 / $10.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.46 / $10.00
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $10.72
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.12 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.98 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.47 / $7.24