go back

Massachusetts rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.67 / $6.67 / $6.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $6.67 / $13.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.16 / $32.36 / $85.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $10.26 / $14.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $9.84 / $29.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $9.98 / $9.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $20.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $12.44 / $13.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $7.70 / $7.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.85 / $85.22 / $85.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $7.61 / $14.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $8.74 / $14.89