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California rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.63 / $6.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $6.76
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $8.13 / $11.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.47 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.98
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.75 / $7.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.13 / $10.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $48.98 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $5.75 / $7.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $5.50
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.13 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $2.51 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.82 / $5.75