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Florida rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $6.34 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $7.67 / $9.31
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 / $7.74
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.26 / $29.61 / $49.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.50 / $11.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $5.93 / $6.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $5.50 / $7.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $5.93 / $6.26