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Kentucky rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.27 / $547.09 / $568.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.45 / $633.84 / $737.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.60 / $1,149.56 / $1,208.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.21 / $669.63 / $686.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.17 / $1,620.88 / $2,184.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.56 / $1,551.91 / $1,937.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $1,428.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $895.43 / $5,988.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.74 / $732.61 / $915.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.34 / $623.52 / $857.13