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California rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.01 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.96 / $69.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.59 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.51 / $19.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $25.70 / $38.02
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.88 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.72 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $10.72
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $19.05 / $24.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.60 / $32.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $16.22 / $22.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $14.79
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $22.91 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $6.92 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.13 / $18.20