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Iowa rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.99 / $1.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.88 / $2.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.02 / $2.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $2.22 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.92 / $2.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.22 / $3.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.91 / $2.25
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.65 / $1.65