go back

Maine rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.41 / $393.95 / $393.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.24 / $674.01 / $1,249.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.70 / $320.36 / $439.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $429.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $340.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.59 / $473.59 / $473.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.35 / $393.95 / $393.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.54 / $377.36 / $671.07