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New Jersey 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
$3.21 / $3.21 / $3.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.21 / $5.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.05 / $8.61
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $4.38 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.29 / $6.05