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Vermont rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.63 / $5.01
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 / $4.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.17 / $6.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $4.68 / $12.88