go back

Maine rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $11.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.98 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $6.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.51 / $2.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.31 / $6.17