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Washington, DC 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
$8.44 / $8.44 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $8.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.82 / $24.82 / $24.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $6.24 / $10.33