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California 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
$4.80 / $5.27 / $51.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $8.09 / $51.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $6.91 / $18.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $9.00 / $16.51
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.91 / $24.56 / $37.95
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $38.51 / $67.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.99 / $10.78 / $16.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $12.26
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $17.94 / $21.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $12.56 / $27.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.17 / $85.22 / $85.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.37 / $119.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $15.87 / $18.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $14.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $21.01 / $27.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $7.61 / $17.63