go back

Arizona 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
$1,277.63 / $1,713.58 / $2,125.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.91 / $3,301.51 / $5,968.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.78 / $3,046.37 / $4,150.68
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 / $3,373.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.83 / $2,544.37 / $15,093.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.77 / $1,424.81 / $2,195.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.77 / $1,424.81 / $2,180.34