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Illinois rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $10.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $10.08 / $17.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $11.66 / $11.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.67 / $45.35 / $157.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $13.46 / $13.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $19.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $20.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.09 / $25.00 / $32.39
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $22.96 / $23.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $24.40 / $26.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $8.94 / $19.02