go back

Minnesota rates for HCPCS A5113

Leg Strap; Latex Replacement Only Per Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $4.20 / $4.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.68 / $7.04 / $9.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $6.25 / $6.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $20.69 / $57.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.95 / $9.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $19.66 / $45.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $8.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $6.58 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.80 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.96 / $6.62