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Missouri rates for HCPCS A5122

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

Facilitymedian $14 · 10th–90th $7–$350%10%10th90th$14Professionalmedian $10 · 10th–90th $8–$180%10%20%10th90th$10$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $15.14 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.92 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.32 / $13.49