go back

Vermont 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
$1,858.25 / $1,858.25 / $2,144.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,798.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,778.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,798.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,778.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.50 / $2,255.71 / $4,402.18