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Tennessee 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
$2.90 / $2.90 / $3.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.60 / $4.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $5.03 / $5.03
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 / $4.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.36 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $31.58 / $49.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.67 / $4.00