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Vermont rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.98 / $637.98 / $736.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.72 / $1,057.72 / $1,057.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $960.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $837.26 / $954.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $960.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $895.43 / $954.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.22 / $774.44 / $1,511.37