search again

Nationwide rates for HCPCS L5704

Custom Shaped Protective Cover Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.56 / $360.54 / $475.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.39 / $369.07 / $504.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.68 / $783.53 / $1,374.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $384.00 / $588.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.91 / $394.91 / $397.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.27 / $394.90 / $420.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.75 / $355.77 / $500.05