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West 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
$5.87 / $5.87 / $5.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $6.57 / $8.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $14.35 / $18.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $7.44 / $12.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $7.51 / $13.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $7.51 / $58.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $5.89 / $9.39