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Alaska rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.10 / $1.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $4.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.49 / $3.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $1.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.27 / $1.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.76 / $1.46