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Virginia rates for HCPCS A5114

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

Facilitymedian $8 · 10th–90th $6–$180%20%10th90th$8Professionalmedian $6 · 10th–90th $5–$110%20%10th90th$6$0.2$2.0$20.0$200.0$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $12.59
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.88 / $16.22
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $11.48
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.51 / $15.14
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.08 / $8.32
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $9.55 / $36.31
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.55 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.79 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $10.23