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Adhesive or Nonadhesive Disk or Foam Pad

New York rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Rates data updated July 2026.

How much does Adhesive or Nonadhesive Disk or Foam Pad cost?

$1.05

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1.05 for this service. The price depends on where it is billed: about $1.02 from a physician practice, and about $1.17 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.02$0.83 to $1.48
FacilityA hospital or hospital-owned outpatient department$1.17$1.12 to $1.48

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $2
$1$10$100$1K$10Kfacility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$1.12
Typical High
$1.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$1.12
Typical High
$1.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$2.57
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.29
Typical High
$1.29
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$2.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$0.93
Typical High
$1.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$2.63
Typical High
$6.17
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.70
Typical High
$3.02
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.23
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.17
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.51
Typical High
$1.86
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.79
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$1.02
Typical High
$2.63
Univera
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.17

Where New York sits

The same service costs 3.3 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 40th of 51

$1.05

KS $2.63CO $0.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.