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Kansas rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $6.66 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $9.17 / $9.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $9.10 / $9.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $7.51 / $17.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $10.80 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $6.24 / $15.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.96 / $8.42