go back

Iowa rates for HCPCS L5714

Addition Exoskeletal Knee-Shin System Single Axis Variable Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.77 / $440.77 / $443.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.92 / $301.52 / $453.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $629.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.42 / $610.13 / $762.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.23 / $572.04 / $648.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.79 / $743.65 / $2,588.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.47 / $349.87 / $765.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.40 / $629.24 / $762.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.28 / $735.03 / $1,202.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.66 / $294.89 / $673.04
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.60 / $560.60 / $560.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.87 / $560.60 / $560.60