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Maine rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $10.72 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $12.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $15.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.92 / $6.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $9.33 / $15.49