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Oregon rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.91 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $32.36 / $38.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $12.02 / $18.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.30 / $16.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.79 / $16.60
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.14 / $16.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $14.13 / $20.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $14.45 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $16.98 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $6.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.59 / $14.45