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Colorado rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $5.38 / $5.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $5.38 / $8.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.09 / $6.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $7.51 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $13.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $6.08 / $15.63
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $14.38 / $24.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $5.30 / $7.98