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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
$0.80 / $1.15 / $1.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.25
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 / $0.94 / $1.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.83 / $2.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.91 / $1.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.28