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New Jersey rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.90 / $1.51
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.44 / $2.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.22 / $1.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.91 / $1.42