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Virginia rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $6.57 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $6.57 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.09 / $8.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $8.55
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 / $6.38 / $7.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $10.63 / $14.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $7.24 / $12.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $13.97 / $17.71
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $8.42 / $15.66
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.42 / $15.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.30 / $9.14