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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 October 2026.

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

$28.18

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $28.18 for this service. Most negotiated rates run $26.92 to $28.84.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21 · 10th to 90th $5 to $21Professionalmedian $28 · 10th to 90th $22 to $29
$5$10$20facility $21professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.90
Median
$20.89
Typical High
$20.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
HMSA
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$28.18
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$26.92
Typical High
$34.67
United
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$28.84
Typical High
$28.84
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.38
Typical High
$25.12

Where Hawaii sits

The same service costs 5.0 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 1st of 51

$28.18

HI $28.18RI $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.