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Replacement Leg Strap, Foam or Fabric

Utah 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?

$10.00

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $4.79 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 7 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$10.23$6.31 to $14.45
FacilityA hospital or hospital-owned outpatient department$4.79$3.39 to $10.72

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $11Professionalmedian $10 · 10th to 90th $3 to $55
$5$10$20$50facility $5professional $10

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
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$10.96
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$8.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.71
Typical High
$12.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$10.72
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.59
Typical High
$12.02
Select Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$10.96
Typical High
$11.48
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.90
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.25
Typical High
$7.94

Where Utah sits

The same service costs 4.8 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 10th of 51

$10.00

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.