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South Carolina rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.76 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.98 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $7.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.63 / $3.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.75 / $9.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $3.24 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.16 / $4.27