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Washington rates for HCPCS A5122

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

Facilitymedian $17 · 10th–90th $14$350%10%20%10th90th$17Professionalmedian $11 · 10th–90th $6$250%10%10th90th$11$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$19.95
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$10.72
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$39.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$24.55
Typical High
$39.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.18
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$14.79
Typical High
$15.14
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$27.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.60
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$14.79
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$14.45
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.79
Typical High
$26.30