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New Hampshire rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.09 / $5.50
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $6.76