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Idaho 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
Professional
Modifier
Low / Median / High Price
$9.68 / $20.69 / $20.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $11.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $12.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $13.88 / $20.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $14.49 / $15.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $15.25 / $26.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $11.13 / $16.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $7.24 / $11.82