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Wyoming rates for HCPCS A5114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $5.38 / $10.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $11.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $7.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.30 / $5.89