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New Jersey rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $7.46 / $7.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $7.46 / $14.86
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $14.66 / $17.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $10.14 / $10.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.61 / $12.82