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Minnesota rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.61 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.61 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $25.12 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.51 / $9.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $23.99 / $46.77
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $6.61 / $13.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.82 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.51 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.09 / $8.13