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Minnesota rates for HCPCS A5126

Adhesive Or Non-Adhesive; Disk Or Foam Pad (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.99 / $1.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.66 / $2.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.51 / $1.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $5.17 / $14.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.99 / $2.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $4.92 / $11.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $2.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $1.56 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.77 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.87 / $2.74