go back

Vermont rates for HCPCS A5122

Skin Barrier; Solid 8 X 8 Or Equivalent Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $10.31 / $10.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $12.34 / $12.34
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 / $10.57 / $11.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $11.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $9.66 / $17.64