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Texas rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $48.98 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $5.13 / $8.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $4.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $4.90 / $8.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.57 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.02 / $3.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75