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Idaho 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
Professional
Modifier
Low / Median / High Price
$7.09 / $14.43 / $14.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $8.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $8.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $7.60 / $14.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $10.10 / $10.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $10.63 / $16.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $10.38 / $15.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $7.44 / $11.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.05 / $8.24