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Montana rates for HCPCS A5114

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

Facilitymedian $12 · 10th–90th $8–$370%20%40%10th90th$12Professionalmedian $10 · 10th–90th $4–$280%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $13.18 / $13.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $12.30 / $23.99
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.30 / $23.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $11.48 / $15.14
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.18 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.79 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.25 / $7.08