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Alaska rates for HCPCS A5113

Leg Strap; Latex Replacement Only Per Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.96 / $4.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.31 / $12.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $5.77 / $5.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $4.75 / $9.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $1.80 / $4.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $4.04 / $6.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $4.65 / $8.48