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Arizona rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $6.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $1.12 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.86 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.38 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.78 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.71 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.78 / $1.17