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Vermont rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $7.08 / $8.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.31 / $7.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.47 / $12.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $7.08 / $22.39