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Florida rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $891.25
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $707.95 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $616.60 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $831.76 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $831.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,174.90