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Georgia rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.15 / $1.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.52 / $3.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.83 / $3.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
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 / $0.94 / $1.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.83 / $2.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.88 / $1.79