go back

Indiana 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
$250.44 / $250.44 / $526.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.44 / $256.95 / $279.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.72 / $470.98 / $526.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.64 / $306.70 / $423.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.93 / $578.85 / $789.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.30 / $578.85 / $710.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $526.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $539.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.97 / $262.52 / $380.00