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New York rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $2.63
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.29 / $1.29
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.75 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.63 / $6.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.86 / $3.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.51 / $1.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.78 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.81 / $1.29
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.17