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North Carolina rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.36 / $1.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.36 / $1.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $2.06 / $2.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.17 / $1.29
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 / $1.10 / $1.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.36 / $2.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $3.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.77 / $1.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $11.70