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Oklahoma 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
$1.00 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $7.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.07 / $17.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.95 / $6.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.57 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.69 / $3.98