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Utah rates for HCPCS A5122

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

Facilitymedian $4 · 10th–90th $4$110%50%90th$4Professionalmedian $13 · 10th–90th $4$780%5%10%10th90th$13$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$11.48
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$12.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.18
Typical High
$20.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$18.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.78
Typical High
$18.20
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.20
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.92
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.59
Typical High
$13.80