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Oregon rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $7.08 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $22.91 / $27.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $8.13 / $12.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.51 / $11.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $10.47 / $12.59
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.72 / $12.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $9.55 / $14.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.00 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $15.14 / $41.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.25 / $10.00