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Washington 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
$3.73 / $8.47 / $8.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.73 / $8.84
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $75.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.77 / $31.58
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 / $4.88
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $6.97 / $11.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $7.57 / $12.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.92 / $5.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $5.47 / $6.43
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.59 / $6.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.77 / $13.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $5.96 / $9.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.27 / $6.43 / $6.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.59 / $6.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.80 / $5.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $4.80 / $4.80