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New York rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $7.46 / $15.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.48 / $15.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $10.99 / $21.01
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.35 / $13.28 / $13.28
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $13.28 / $13.28
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 / $13.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $35.84 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $13.88 / $28.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.07 / $12.07 / $12.07
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.50 / $13.28
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $8.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.57 / $23.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $8.19 / $14.58
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $11.50 / $11.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.50 / $12.07