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New Hampshire rates for HCPCS A5122

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

Facilitymedian $8 · 10th–90th $8$100%20%40%90th$8Professionalmedian $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
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.94
Typical High
$19.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$11.22
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$6.03
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$10.00
Typical High
$13.49
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$20.42