go back

Alaska rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,769.85 / $3,769.85 / $3,769.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,496.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.83 / $919.83 / $919.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,949.65 / $4,089.85 / $6,457.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.83 / $919.83 / $2,050.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $2,302.77 / $3,638.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.75 / $2,147.77 / $4,116.55