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Adhesive or Nonadhesive Disk or Foam Pad

Oklahoma 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?

$0.91

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $0.91 for this service. The price depends on where it is billed: about $0.91 from a physician practice, and about $1.35 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 5 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$0.91$0.71 to $1.07
FacilityA hospital or hospital-owned outpatient department$1.35$0.91 to $1.35

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
$1$2$5$10$20$50facility $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
$0.91
Median
$0.91
Typical High
$0.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.54
Median
$0.91
Typical High
$0.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$1.35
Typical High
$1.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.35
Typical High
$1.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.10
Typical High
$1.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$0.93
Typical High
$1.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.15
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.78
Typical High
$1.91
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.85
Typical High
$1.58
United
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.74
Typical High
$1.12

Where Oklahoma 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.

Oklahoma· 48th of 51

$0.91

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.