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Maryland rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.86 / $2.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.71 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.91 / $1.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.55