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Kansas rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $776.25 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
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 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $851.14 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $630.96 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $977.24 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $851.14