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Nationwide rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $371.54 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $389.05 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $398.11 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $489.78 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $537.03