go back

Colorado rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.39 / $603.39 / $603.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.30 / $603.39 / $865.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.78 / $1,355.94 / $2,461.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.95 / $686.95 / $741.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $895.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $653.66 / $1,310.86
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $621.60 / $1,508.48
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $359.09 / $359.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.95 / $1,508.48 / $2,413.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.28 / $556.23 / $857.13