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Washington, DC 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
$4.45 / $4.45 / $4.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.07 / $13.07 / $13.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.29 / $5.44