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Oklahoma rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $12.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $10.53 / $10.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $15.71 / $15.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $15.71 / $15.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.51 / $14.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $11.21 / $80.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.56 / $17.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $7.61 / $10.92