go back

Oklahoma 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
$247.19 / $247.19 / $247.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.19 / $282.50 / $282.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $340.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $346.03 / $2,588.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.97 / $330.96 / $583.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.97 / $267.14 / $377.28