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Iowa 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
$11.04 / $11.04 / $13.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $11.36 / $15.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $19.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $19.73 / $25.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.04 / $19.79 / $26.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $20.84 / $80.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $9.05 / $23.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.68 / $19.73 / $23.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $22.18 / $37.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $8.94 / $21.18
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $16.14 / $16.14