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Idaho rates for HCPCS A5113

Leg Strap; Latex Replacement Only Per Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $7.60 / $7.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $4.00 / $7.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.31 / $5.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $5.59 / $9.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.47 / $8.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $5.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.66 / $4.34