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Washington, DC rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.98 / $688.98 / $688.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.98 / $688.98 / $688.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.00 / $693.00 / $883.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $653.66 / $653.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.20 / $840.20 / $2,565.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.91 / $644.87 / $913.56