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Adhesive or Nonadhesive Disk or Foam Pad

Louisiana rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Rates data updated July 2026.

How much does Adhesive or Nonadhesive Disk or Foam Pad cost?

$1.17

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $1.17 for this service. The price depends on where it is billed: about $1.15 from a physician practice, and about $1.29 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.15$1.00 to $1.29
FacilityA hospital or hospital-owned outpatient department$1.29$1.29 to $2.69

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $1
$1$2$5$10$20facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.29
Typical High
$1.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.17
Typical High
$1.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$2.69
Typical High
$3.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.10
Typical High
$1.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$0.93
Typical High
$1.74
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.71
Typical High
$0.91
United
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.85
Typical High
$1.12

Where Louisiana sits

The same service costs 3.3 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Louisiana· 28th of 51

$1.17

KS $2.63CO $0.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.