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Tennessee rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.99 / $1.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.40 / $1.40
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $11.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.74 / $1.06