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Maryland rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $10.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.79 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.31 / $10.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $10.72