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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
$10.00 / $10.00 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $38.90 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $20.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.12 / $32.36
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
$22.91 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $6.92 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $8.91 / $13.80