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Missouri rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $12.52 / $17.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.69 / $10.08 / $19.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $8.32 / $16.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $12.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $15.25 / $80.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $8.94 / $14.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $8.93 / $12.85