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Oregon rates for HCPCS A5113

Leg Strap; Latex Replacement Only Per Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $4.11 / $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 / $3.37 / $4.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $12.07 / $14.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.91 / $6.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $5.14 / $5.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $5.47 / $6.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.59 / $6.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $4.90 / $5.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.90 / $6.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $9.32 / $19.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $6.15 / $6.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.80 / $5.36