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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$3.67 / $4.38 / $8.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $20.30 / $24.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $5.58 / $9.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $6.00 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $6.38 / $7.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $6.07 / $8.84