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California rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.54 / $4.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.71 / $4.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.68 / $1.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.15 / $3.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $3.32 / $5.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.10 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.56 / $1.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.09 / $2.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $11.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.40 / $1.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.10 / $1.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.77 / $2.08