go back

Texas rates for HCPCS L5718

Addition Exoskeletal Knee-Shin System Polycentric Friction Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.90 / $491.90 / $531.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.90 / $531.25 / $983.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.52 / $1,123.52 / $1,123.52
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 / $719.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.71 / $5,694.72 / $6,924.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,260.09 / $7,260.09 / $8,200.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.15 / $788.24 / $1,123.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.13 / $1,011.17 / $1,123.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.15 / $750.70 / $1,123.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $525.45 / $741.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.57 / $672.45 / $821.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.62 / $667.98 / $1,123.52