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Virginia rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $9.43 / $10.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $9.43 / $13.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $7.97 / $10.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $8.68 / $10.42
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $15.25 / $18.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $10.15 / $18.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $20.04 / $25.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $12.07 / $20.85
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $12.07 / $20.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.61 / $10.92