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Washington rates for HCPCS A5114

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

Facilitymedian $13 · 10th–90th $9$250%10%10th90th$13Professionalmedian $8 · 10th–90th $5$230%10%10th90th$8$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $28.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $12.30 / $12.30
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.61 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $27.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.33 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.47 / $12.30
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.72 / $12.59
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $31.62
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $12.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.30 / $12.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.25 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.03 / $10.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.96 / $19.05