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Replacement Leg Strap, Foam or Fabric

Montana rates for HCPCS A5114

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

Rates data updated July 2026.

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

$12.30

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $12.30 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.96$7.76 to $15.14
FacilityA hospital or hospital-owned outpatient department$12.30$10.47 to $14.45

How much rates vary

Facilitymedian $12 · 10th to 90th $8 to $37Professionalmedian $11 · 10th to 90th $5 to $37
$10.0$100.0$1.0K$10.0K$100.0Kfacility $12professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$10.72
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$13.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$13.18
Typical High
$13.18
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.30
Typical High
$23.99
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.30
Typical High
$23.99
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$11.48
Typical High
$15.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.79
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.25
Typical High
$7.08

Where Montana sits

The same service costs 4.8 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $12.30 · 4th of 51
HI $26.92RI $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.