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Indiana rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $5.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $5.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $6.92 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.98 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $5.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.75 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.82 / $4.17