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Oklahoma rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $7.45 / $8.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $7.34 / $7.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $10.95 / $10.95
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 / $6.48 / $9.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $7.82 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.99 / $12.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.63 / $7.60