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Kansas 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
$7.27 / $7.27 / $7.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $3.51 / $7.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.29 / $5.78 / $6.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
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 / $3.96 / $9.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $5.68 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.29 / $8.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.26 / $4.43