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Ohio rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $3.56 / $13.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.56 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $7.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $5.59 / $7.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.59 / $11.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.96 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.96 / $3.96
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.96 / $3.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.43 / $1.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.80 / $4.05