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Arizona rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $11.48 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.61 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $4.90 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.82 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.51 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.82 / $4.17