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Virginia rates for HCPCS A5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $6.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.47 / $7.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $5.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $6.26
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 / $6.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.85 / $10.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $6.02 / $10.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $11.62 / $14.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $7.00 / $12.52
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $7.00 / $12.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.42 / $6.54