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See a sample rate comparisonHCPCS A5121 Fee Schedule
HCPCS A5121 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Skin barrier; solid, 6 x 6 or equivalent, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $8.77 median of the 7 states in the free preview · View Medicaid rates for A5121 |
National average reimbursement for HCPCS A5121 by major payers:
$8.59
BCBS / Anthem
$5.26
UnitedHealthcare
$6.70
Aetna
$11.52
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A5121.
HCPCS A5121
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$16.45Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$6.67Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$4.42Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$4.11Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$3.32Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5121 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A5121. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5120-HCPCS | Low | Skin barrier, wipes or swabs, each |
| A5121-HCPCS | Low | Skin barrier; solid, 6 x 6 or equivalent, each |
| A5122-HCPCS | Low | Skin barrier; solid, 8 x 8 or equivalent, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5121 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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Bring your top codes (like HCPCS A5121) and we'll show you how you compare in 15 minutes or less.