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Maryland rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.26 / $633.84 / $1,033.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.00 / $724.38 / $883.62
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 / $653.66 / $895.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.83 / $1,292.60 / $1,861.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.23 / $644.87 / $1,022.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.65 / $674.65 / $904.83