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Missouri rates for HCPCS A5114

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

Facilitymedian $9 · 10th–90th $5–$280%10%10th90th$9Professionalmedian $7 · 10th–90th $5–$130%10%20%10th90th$7$1.0$2.0$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
$5.01 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.59 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.31 / $11.75
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.59 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.72 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.31 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.75 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.89 / $9.55