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North Carolina 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
$5.89 / $7.59 / $8.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.27 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $7.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.31 / $3.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $5.25 / $8.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.63 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.82 / $4.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $48.98