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Wisconsin rates for HCPCS A5121

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

Facilitymedian $10 · 10th–90th $9–$170%20%40%10th90th$10Professionalmedian $8 · 10th–90th $5–$150%10%20%10th90th$8$5.0$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.91 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $30.20 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $14.13 / $18.20
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $8.51 / $13.80
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.60 / $20.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $9.55 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.25 / $10.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.96 / $19.05
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.14 / $27.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $19.05 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.72 / $53.70
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.68 / $7.94