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Kansas rates for HCPCS A5126

Adhesive Or Non-Adhesive; Disk Or Foam Pad (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.97 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.90 / $4.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.92
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 / $1.10 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.58 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.91 / $2.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.91 / $1.32