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West Virginia 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
Facility
Modifier
Low / Median / High Price
$9.90 / $9.90 / $9.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.90 / $11.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $22.43 / $31.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $12.56 / $21.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $21.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.78 / $82.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $8.94 / $12.68