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North Carolina rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.36 / $15.36 / $15.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.31 / $15.36 / $15.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.97 / $23.33 / $32.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.16 / $13.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $20.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $15.36 / $20.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $13.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $28.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $8.33 / $12.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.22 / $85.22
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.37 / $89.37 / $119.48