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Nebraska rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.31 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.59 / $11.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $9.33 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.31 / $6.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $16.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $3.02 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.16 / $5.13