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Iowa rates for HCPCS A5122

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

Facilitymedian $15 · 10th–90th $8–$790%10%20%10th90th$15Professionalmedian $11 · 10th–90th $7–$200%10%20%10th90th$11$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $20.42 / $25.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.44 / $26.92
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.95 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.96 / $26.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $20.42 / $23.44
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.91 / $16.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.22 / $16.22