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Oregon rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $7.80 / $36.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $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
$7.44 / $22.74 / $27.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $9.32 / $11.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $8.65 / $11.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $10.63 / $12.50
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.63 / $12.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $9.31 / $10.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $9.31 / $12.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $17.68 / $37.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.69 / $11.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $5.30 / $10.11