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Nebraska 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
$5.45 / $5.45 / $5.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.45 / $7.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $6.37 / $6.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $7.24 / $11.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $6.71 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.29 / $5.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $7.24 / $9.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.46 / $14.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.29 / $4.30