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Kentucky 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
$2.17 / $2.88 / $3.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.41 / $4.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $7.83 / $9.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $6.75 / $9.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.96 / $29.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.81 / $7.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.80 / $4.00