go back

Delaware rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.67 / $9.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $4.95 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $6.38 / $6.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $6.24 / $9.39