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Kansas rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.17 / $921.17 / $921.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $641.32 / $1,026.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.80 / $918.80 / $918.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.03 / $783.19 / $833.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.01 / $838.01 / $838.01
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 / $895.43 / $2,005.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $987.29 / $5,814.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.82 / $701.44 / $1,565.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.45 / $611.16 / $882.18