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North Dakota rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $11.04 / $13.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $19.82 / $20.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $20.45 / $25.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $13.06 / $80.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $8.35 / $14.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $7.20 / $14.30