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Virginia 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
$4.07 / $4.07 / $4.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.07 / $4.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $3.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.50
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 / $4.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $6.58 / $7.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $4.34 / $7.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $8.65 / $10.97
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $5.15 / $9.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.15 / $9.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.29 / $5.17