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Louisiana 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
Facility
Modifier
Low / Median / High Price
$10.29 / $12.68 / $12.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $12.68 / $14.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $12.56 / $12.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.62 / $26.68 / $37.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.12 / $11.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $13.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.35 / $11.60