go back

California 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
$1.76 / $1.93 / $16.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.96 / $16.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.43 / $6.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $6.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $7.65 / $11.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $12.03 / $21.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.96 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.53
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.59 / $6.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.91 / $8.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $31.58 / $49.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $5.20 / $5.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.96 / $5.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $10.57 / $10.57
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.67 / $6.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.80 / $5.73