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Pennsylvania rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $1.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.99 / $1.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.83 / $1.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.56 / $2.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $1.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $1.10 / $1.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.60 / $3.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.99
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.39 / $1.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.91 / $1.67