go back

Montana 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
$498.53 / $1,729.14 / $1,729.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $639.64 / $639.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.42 / $520.15 / $639.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.89 / $609.17 / $639.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.42 / $480.07 / $640.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.37 / $250.45 / $385.95