go back

North Dakota rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $9.10 / $9.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.89 / $9.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.69 / $13.82 / $14.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.39 / $18.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $9.10 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $6.19 / $10.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $6.19 / $9.97