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Utah rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $2.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.55 / $30.05
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 / $6.26 / $11.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $6.61 / $8.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.31 / $9.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.42 / $5.18