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Louisiana 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
$3.78 / $4.66 / $4.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.66 / $5.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.08 / $4.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.96 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.90 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.09 / $4.66