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Adhesive or Nonadhesive Disk or Foam Pad

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $1.17 for this service. The price depends on where it is billed: about $1.17 from a physician practice, and about $2.29 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 7 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$1.17$0.89 to $1.55
FacilityA hospital or hospital-owned outpatient department$2.29$1.17 to $4.90

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $7Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5$10facility $2professional $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
$1.17
Median
$1.17
Typical High
$1.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$1.10
Typical High
$1.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$4.68
Typical High
$8.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$1.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$1.12
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$3.02
Typical High
$3.39
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.26
Typical High
$2.00
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$1.29
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.71
Typical High
$1.58
United
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$0.74
Typical High
$1.12

Where Michigan 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.

Michigan· 27th 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.