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New Mexico rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.97 / $16.17
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 / $3.96 / $4.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.59 / $8.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $1.80 / $4.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.53 / $6.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.80 / $4.20