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Texas rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.18 / $1.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.20 / $1.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $2.02 / $5.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $11.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.34 / $1.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $1.56 / $1.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.32 / $1.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.85 / $1.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.83