go back

Idaho rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $2.11 / $2.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.18 / $2.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.56 / $1.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.56 / $2.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.13 / $1.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.77 / $1.22