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Rhode Island 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 / $2.31 / $3.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $10.69 / $12.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.94 / $4.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.96 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.96 / $3.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.20 / $4.66