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Ohio rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $11.39 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $11.39 / $14.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $14.35 / $14.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $9.00 / $23.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.46 / $17.94 / $24.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $17.94 / $38.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $10.78 / $21.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $13.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $10.78 / $10.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $10.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $13.48 / $17.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $8.35 / $11.47