go back

Wisconsin 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
$561.29 / $561.29 / $561.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.48 / $561.29 / $931.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.67 / $1,223.94 / $2,025.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.40 / $1,034.78 / $1,368.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.44 / $2,381.11 / $2,381.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $2,300.19 / $4,643.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $1,612.50 / $2,105.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.15 / $841.95 / $1,279.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.10 / $1,112.67 / $1,457.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.29 / $1,112.67 / $5,694.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.35 / $743.47 / $1,256.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $737.88
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.15 / $850.15 / $1,279.57
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.10 / $1,112.67 / $1,457.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.67 / $1,712.35 / $3,273.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $2,173.17 / $5,694.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $719.79 / $7,260.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.67 / $1,112.67 / $1,112.67
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.67 / $1,112.67 / $1,112.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.57 / $740.13 / $1,211.55