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Missouri rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.29 / $1.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.97 / $2.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.52
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.60 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.91 / $1.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.91 / $1.39