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New Hampshire rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $8.02 / $9.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.48 / $10.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $7.97 / $7.97
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $12.44 / $38.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $7.61 / $9.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $11.29 / $14.36