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Massachusetts rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $6.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.46 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $4.57 / $8.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $12.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.89 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $8.32
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.46 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $4.79 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.57 / $3.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.55 / $5.89