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Adhesive or Nonadhesive Disk or Foam Pad

Alaska rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Rates data updated July 2026.

How much does Adhesive or Nonadhesive Disk or Foam Pad cost?

$1.45

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1.45 for this service. The price depends on where it is billed: about $1.45 from a physician practice, and about $0.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.45$0.79 to $1.51
FacilityA hospital or hospital-owned outpatient department$0.50$0.50 to $1.48

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.54
Median
$1.17
Typical High
$1.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$1.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$0.93
Typical High
$1.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$1.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$2.34
Typical High
$5.01
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.48
Typical High
$1.48
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.48
Typical High
$1.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.50
Median
$0.50
Typical High
$1.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.20
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$0.71
Typical High
$0.71
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.78
Typical High
$3.72

Where Alaska sits

The same service costs 3.3 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 10th of 51

$1.45

KS $2.63CO $0.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.