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Connecticut rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.41 / $635.41 / $635.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $544.66 / $635.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.21 / $1,307.36 / $1,495.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.95 / $686.95 / $711.48
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 / $895.43
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.79 / $849.79 / $849.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.52 / $849.79 / $1,151.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.30 / $986.30 / $986.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.75 / $652.24 / $857.13