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Washington rates for HCPCS A5120

Skin barrier, wipes or swabs, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.64 / $0.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.28 / $0.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.33 / $1.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.69 / $0.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.67 / $0.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.61 / $0.67
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.18 / $0.18