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Oregon rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $12.30 / $14.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.37 / $6.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.47 / $6.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.50 / $6.17
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.62 / $6.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.01 / $7.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $5.37 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $7.94 / $21.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.31 / $6.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.82 / $5.37