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Mississippi rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.84 / $8.84 / $9.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $8.84 / $9.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $8.24 / $8.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $8.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $7.51 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $6.38 / $8.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.05 / $11.17