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Arkansas rates for HCPCS A5122

Skin Barrier; Solid 8 X 8 Or Equivalent Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $14.46 / $14.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $22.78 / $22.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.94 / $17.94 / $17.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $17.94 / $17.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $13.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.09 / $10.79