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Rhode Island rates for HCPCS A5122

Skin Barrier; Solid 8 X 8 Or Equivalent Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $6.30 / $11.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $29.12 / $34.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $8.02 / $13.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $10.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $8.27 / $12.68