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Utah rates for HCPCS A5114

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

Facilitymedian $5 · 10th–90th $3$110%20%40%10th90th$5Professionalmedian $9 · 10th–90th $3$550%10%10th90th$9$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$8.13
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
$7.76
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
$7.59
Median
$7.59
Typical High
$12.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.72
Typical High
$12.88
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
$4.79
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.25
Typical High
$9.12