go back

Nebraska rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.86 / $14.86 / $14.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $14.86 / $15.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $17.34 / $17.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $19.73 / $19.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $19.73 / $30.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.59 / $17.94 / $80.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $8.94 / $14.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.68 / $19.73 / $24.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $23.06 / $39.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $8.60 / $11.94