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Oregon rates for HCPCS A5126

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $1.13 / $4.48
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $3.54 / $4.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.36 / $1.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.44 / $1.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.56 / $1.83
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.56 / $1.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.36 / $1.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.36 / $1.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.72 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.77 / $1.48