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Virginia rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $1.00 / $1.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.25
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.61 / $2.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.12 / $2.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.28 / $2.36
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.28 / $2.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.80 / $1.34