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Missouri rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $4.59 / $6.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.70 / $7.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $5.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $5.59 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.29 / $7.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.29 / $5.09