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North Carolina 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
$4.90 / $4.90 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.90 / $4.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $7.43 / $10.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.19 / $4.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.96 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.96 / $7.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $4.90 / $6.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $7.90 / $12.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.80 / $4.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $31.58 / $49.35