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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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $18.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $15.49 / $85.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $11.75 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $13.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $20.42
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $15.49 / $85.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $12.02 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.59 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.91 / $13.49