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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
$2.00 / $3.98 / $5.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.76 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.51 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.31 / $5.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $5.62