go back

Utah rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Facilitymedian $1 · 10th–90th $1–$10%20%40%10th90th$1Professionalmedian $2 · 10th–90th $1–$70%10%20%10th90th$2$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.17 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $1.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.35 / $2.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.32 / $1.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.82 / $1.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.86 / $1.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.71 / $0.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.78 / $1.41