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West Virginia rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.00 / $1.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $2.11 / $2.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.09 / $1.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.10 / $8.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.90 / $1.58