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South Carolina 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
Facility
Modifier
Low / Median / High Price
$14.35 / $14.35 / $14.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $14.35 / $15.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $14.77 / $21.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $13.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $15.07 / $28.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $12.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $12.12 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $8.24 / $10.28