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Montana rates for HCPCS A5122

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

Facilitymedian $15 · 10th–90th $11–$210%20%40%10th90th$15Professionalmedian $13 · 10th–90th $7–$200%20%10th90th$13$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $15.85
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $28.84
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $28.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $14.13 / $20.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.92 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $10.23