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Indiana rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.64 / $14.64 / $17.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $11.39 / $14.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.97 / $7.97 / $15.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $7.97 / $10.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.46 / $18.80 / $25.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $19.64 / $23.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $17.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.17 / $11.94