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Rhode Island rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.22 / $669.63 / $775.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.44 / $2,496.56 / $2,955.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.82 / $853.91 / $1,182.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.20 / $895.43 / $895.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $895.43 / $895.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.49 / $746.63 / $1,087.06