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Georgia rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $8.91 / $13.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $7.59 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $13.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.96 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.90 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $5.25 / $9.33