go back

Minnesota rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $20.42 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $64.57 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $22.91 / $25.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $64.57 / $123.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $21.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $17.38 / $35.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $7.59 / $19.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $6.92 / $6.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $8.13 / $19.95