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Adhesive or Nonadhesive Disk or Foam Pad

Rhode Island 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?

$0.98

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $0.98 for this service. The price depends on where it is billed: about $0.98 from a physician practice, and about $3.31 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 4 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$0.98$0.79 to $1.17
FacilityA hospital or hospital-owned outpatient department$3.31$1.20 to $3.80

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $1 to $1
$1$2$5$10facility $3professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.79
Typical High
$1.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.63
Typical High
$4.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$0.98
Typical High
$1.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.20
Typical High
$1.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$0.93
Typical High
$0.93
United
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$0.98
United
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$1.07
Typical High
$1.51

Where Rhode Island 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.

Rhode Island· 45th of 51

$0.98

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.