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New Jersey rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $7.08 / $9.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $3.24 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.31 / $5.50