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Texas rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $9.88 / $11.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $10.01 / $15.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $17.12 / $42.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.25 / $15.25 / $15.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $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
$80.17 / $85.22 / $85.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.37 / $119.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $11.46 / $16.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $14.03 / $15.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $10.92 / $15.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $13.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $8.27 / $10.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $7.97 / $15.25