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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
$6.73 / $6.73 / $6.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $7.09 / $8.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.84 / $20.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $10.63 / $20.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $9.03 / $9.03
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 / $14.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $10.63 / $13.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.19 / $8.74