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Maryland rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $4.17 / $5.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.50
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 / $3.37 / $4.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $6.58 / $9.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.29 / $5.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $4.61