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Louisiana rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.29 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.29 / $1.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.72 / $3.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.12 / $1.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.86 / $1.31