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Adhesive or Nonadhesive Disk or Foam Pad

Pennsylvania 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?

$1.12

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.12 for this service. The price depends on where it is billed: about $1.12 from a physician practice, and about $1.12 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$1.12$0.89 to $1.23
FacilityA hospital or hospital-owned outpatient department$1.12$0.89 to $1.86

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $9Professionalmedian $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
$0.89
Median
$0.89
Typical High
$1.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.12
Typical High
$1.51
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
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
$1.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.29
Typical High
$3.02
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.12
Typical High
$1.86
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$0.89
Typical High
$1.41
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.12
Typical High
$1.48
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$5.89
Typical High
$10.00
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.74
Typical High
$1.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$0.83
Typical High
$1.17
United
Setting
Professional
Modifier
Global
Typical Low
$0.63
Median
$0.91
Typical High
$1.86

Where Pennsylvania 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.

Pennsylvania· 33rd of 51

$1.12

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.