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Vermont rates for HCPCS A5121

Skin Barrier; Solid 6 X 6 Or Equivalent Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $6.93 / $6.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $8.30 / $8.30
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 / $6.25 / $6.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $6.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $6.24 / $11.86