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Pennsylvania rates for HCPCS A5113

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.60 / $5.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.58 / $6.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.58 / $12.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $5.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $4.04 / $6.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $9.00 / $13.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $7.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $7.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $6.27 / $6.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $6.27 / $6.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.29 / $5.93