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Virginia rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $5.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.76 / $9.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.98 / $6.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $4.68 / $8.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.37 / $4.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.89 / $22.91
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.89 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.51 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.31 / $5.37