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Ohio rates for HCPCS A5126

Adhesive Or Non-Adhesive; Disk Or Foam Pad (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.99 / $1.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $2.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.56 / $2.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.56 / $3.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.10 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.10 / $1.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.11 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.77 / $1.12