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Connecticut rates for HCPCS A5114

Leg strap; foam or fabric, replacement only, per set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.31 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.91 / $12.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.31 / $8.91