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North Dakota 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
$4.08 / $4.08 / $4.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.20 / $4.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $6.18 / $6.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.58 / $9.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $4.20 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $3.10 / $4.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.10 / $4.66