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Georgia rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $4.17 / $5.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $5.48 / $12.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $6.58 / $12.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $4.75
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 / $7.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.58 / $9.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.15 / $5.41