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Nevada rates for HCPCS A5114

Leg Strap; Foam Or Fabric Replacement Only Per Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.73 / $10.73 / $10.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $10.73 / $28.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.09 / $12.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $7.51 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $6.38 / $8.58
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $9.38 / $18.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $5.30 / $8.84