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Vermont rates for HCPCS A5113

Leg Strap; Latex Replacement Only Per Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.22 / $4.22
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 / $3.84 / $4.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $3.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.96 / $4.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $3.80 / $7.21