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Iowa 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
$4.08 / $4.20 / $4.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $4.07 / $5.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $7.24 / $9.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $8.86 / $12.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $7.61 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.40 / $8.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $7.24 / $8.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $7.81 / $13.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.29 / $5.60
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $5.92 / $5.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.92 / $5.92