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Michigan rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $19.95 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.98 / $7.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $12.59 / $14.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.25 / $8.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.98 / $4.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.57 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.09 / $4.68