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New York rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $3.21 / $6.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $3.21 / $6.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $9.08
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $5.49 / $5.49
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $5.49 / $5.49
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 / $4.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $14.81 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.94 / $12.04
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $4.75 / $4.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.96 / $9.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.41 / $6.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $4.75 / $4.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $4.75 / $4.75