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Tennessee rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $7.88 / $9.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $9.78 / $14.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $13.73 / $13.73
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.85 / $85.00 / $85.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.37 / $119.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $7.10 / $10.89