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Kansas rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $19.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $9.56 / $19.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $18.36 / $19.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $18.23
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 / $25.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $15.51 / $80.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.94 / $22.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.09 / $11.47