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See a sample rate comparisonHCPCS A5126 Fee Schedule
HCPCS A5126 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Adhesive or non-adhesive; disk or foam pad
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.50 median of the 7 states in the free preview · View Medicaid rates for A5126 |
National average reimbursement for HCPCS A5126 by major payers:
$1.53
BCBS / Anthem
$0.92
UnitedHealthcare
$1.17
Aetna
$1.99
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A5126.
HCPCS A5126
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$3.40Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$1.83Published rateAtlanta Vamc
$1.05Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$0.86Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$0.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5126 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A5126. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5122-HCPCS | Low | Skin barrier; solid, 8 x 8 or equivalent, each |
| A5126-HCPCS | Low | Adhesive or non-adhesive; disk or foam pad |
| A5131-HCPCS | Low | Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5126. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5126 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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Bring your top codes (like HCPCS A5126) and we'll show you how you compare in 15 minutes or less.