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Delaware rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Facilitymedian $398 · 10th–90th $1–$4790%50%10th90th$398Professionalmedian $355 · 10th–90th $275–$1,4130%20%10th90th$355$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $331.13 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $363.08 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $524.81