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Wisconsin rates for HCPCS A5122

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

Facilitymedian $18 · 10th–90th $16$330%20%40%10th90th$18Professionalmedian $13 · 10th–90th $8$270%10%20%10th90th$13$5.0$10.0$20.0$50.0$100.0

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
$10.00
Median
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.00
Typical High
$15.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$29.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.60
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$54.95
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$25.12
Typical High
$33.88
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$15.14
Typical High
$25.70
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$28.18
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$17.78
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.91
Typical High
$19.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Network Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$20.42
Typical High
$35.48
Quartz
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$26.92
Typical High
$47.86
Quartz
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$35.48
Typical High
$85.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$18.20
Typical High
$89.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Security Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$8.13
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$14.45