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Texas 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
$2.79 / $3.63 / $4.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.70 / $5.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $3.19 / $3.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $2.99 / $2.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.96 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $31.58 / $49.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $4.20 / $5.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $5.14 / $5.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $4.00 / $5.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $3.04 / $4.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $5.59