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South Carolina rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $18.20 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $10.72 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $20.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.48 / $12.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $15.49 / $28.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.92 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.51 / $11.48