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Oregon rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $11.18 / $51.77
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $31.95 / $39.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.92 / $13.38 / $16.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.34 / $13.73 / $16.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.68 / $14.89 / $17.09
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $15.25 / $17.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $13.35 / $15.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $13.35 / $17.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $16.78 / $16.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.61 / $14.52