go back

Indiana rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Facilitymedian $1,413 · 10th–90th $661–$1,5140%50%10th90th$1,413Professionalmedian $676 · 10th–90th $525–$1,0230%20%40%10th90th$676$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $660.69 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,412.54 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $691.83 / $1,230.27
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,479.11 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $891.25 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $851.14 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $691.83 / $1,000.00