go back

Alaska rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.30 / $1,226.30 / $1,226.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $673.11 / $673.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.37 / $673.11 / $693.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.75 / $281.75 / $281.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.04 / $1,330.40 / $2,100.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.75 / $281.75 / $673.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.37 / $673.11 / $1,025.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.85 / $698.66 / $1,339.09