go back

Maine rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.05 / $1.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.10 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.94 / $1.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.05 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.91 / $2.54