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Rhode Island rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $20.89 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.62 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $6.03 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.03 / $8.91