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Replacement Leg Strap, Foam or Fabric

Hawaii rates for HCPCS A5114

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

Rates data updated July 2026.

How much does Replacement Leg Strap, Foam or Fabric cost?

$26.92

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $26.92 for this service. Most negotiated rates run $6.17 to $26.92.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $21Professionalmedian $27 · 10th to 90th $6 to $28
$5.0$10.0$20.0$50.0facility $5professional $27

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.59
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$24.55
Typical High
$33.11
HMSA
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$28.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.17
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.91
Typical High
$33.11

Where Hawaii sits

The same service costs 4.8 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $26.92 · 1st of 51
HI $26.92RI $5.62

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.