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Michigan rates for HCPCS A5114

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

Facilitymedian $14 · 10th–90th $6–$490%10%20%10th90th$14Professionalmedian $8 · 10th–90th $5–$110%10%10th90th$8$5.0$10.0$20.0$50.0$100.0

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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $32.36 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $11.22
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $8.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $20.42 / $22.39
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.91 / $13.49
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.59 / $7.59
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.90 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.13 / $7.59