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Arizona 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
$2.02 / $3.95 / $5.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $17.86 / $32.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.79 / $7.89
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 / $3.37 / $4.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $4.70 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.80 / $4.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.80 / $4.20