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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
$5.45 / $7.67 / $11.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $8.55
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 / $8.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $12.50 / $18.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $6.24 / $9.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $6.26 / $8.75