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Arkansas rates for HCPCS A5113

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.31 / $5.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $5.31 / $5.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $7.52 / $8.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $6.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.96 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.96 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.04 / $3.95