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Missouri rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Facilitymedian $1,000 · 10th–90th $575$2,7540%20%10th90th$1,000Professionalmedian $692 · 10th–90th $501$1,1750%20%10th90th$692$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
$562.34 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $1,174.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $4,365.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $691.83 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $891.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $977.24 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $645.65 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $616.60 / $870.96