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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
$11.04 / $11.04 / $11.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $11.04 / $13.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $18.46 / $24.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $16.80 / $17.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $53.80 / $149.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $21.47 / $25.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.94 / $51.62 / $117.65
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $20.25 / $20.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $17.32 / $80.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.09 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.51 / $27.97