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Arizona rates for HCPCS A5122

Skin barrier; solid, 8 x 8 or equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $10.76 / $15.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $48.73 / $88.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $15.79 / $21.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $12.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $12.85 / $80.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $7.61 / $11.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $7.61 / $11.47