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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
$8.05 / $8.05 / $8.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $8.05 / $8.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.09 / $6.26
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 / $7.51
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 / $8.13 / $11.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.24 / $10.40