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Indiana rates for HCPCS A5114

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

Facilitymedian $10 · 10th–90th $6$120%20%10th90th$10Professionalmedian $6 · 10th–90th $5$100%10%20%10th90th$6$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $11.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $10.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $13.80 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.59 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.13 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.89 / $9.33