go back

Arizona rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.13 / $656.03 / $813.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.89 / $1,263.97 / $2,285.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.71 / $1,166.28 / $1,589.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $719.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $525.45 / $1,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.15 / $974.09 / $5,694.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.01 / $545.48 / $840.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.01 / $545.48 / $821.69