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Delaware 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 / $6.03
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 / $0.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.83 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.00 / $1.38