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Wisconsin rates for HCPCS A5113

Leg strap; latex, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.31 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $20.89 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $9.33 / $12.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $5.50 / $9.55
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $8.91 / $10.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $6.61 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.47 / $7.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.00 / $17.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $13.49 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $7.24 / $31.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $3.02 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.31 / $5.62