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Vermont rates for HCPCS A5122

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.00 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.79 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.72 / $31.62