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Kentucky rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $5.46 / $6.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.57 / $9.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.26 / $6.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.97 / $14.88 / $17.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $13.82 / $17.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $7.51 / $13.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $7.51 / $58.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $7.24 / $13.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.30 / $7.60