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Wisconsin rates for HCPCS A5114

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

Facilitymedian $11 · 10th–90th $10$200%50%10th90th$11Professionalmedian $8 · 10th–90th $5$180%10%10th90th$8$5.0$10.0$20.0$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$10.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$38.90
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$17.78
Typical High
$20.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$9.33
Typical High
$15.85
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$22.39
Typical High
$28.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.96
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.17
Typical High
$13.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Network Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.59
Typical High
$21.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$33.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$21.88
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$12.88
Typical High
$109.65
Security Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Security Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.75
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.37
Typical High
$10.00