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New York rates for HCPCS A5122

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

Facilitymedian $12 · 10th–90th $6$270%20%10th90th$12Professionalmedian $11 · 10th–90th $7$210%20%10th90th$11$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.88 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $14.45 / $22.39
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $13.18 / $13.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $20.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $26.92 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $16.22 / $30.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.02
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.72 / $26.92
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.59
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.02