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New Hampshire rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Facilitymedian $1 · 10th–90th $1–$10%50%10th$1Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$0.5$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $1.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $2.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.62 / $0.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $1.07 / $1.58
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $2.45