go back

Connecticut 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
$3.60 / $3.60 / $3.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.60 / $4.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
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 / $3.96
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.91 / $5.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.80 / $4.90