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Below-Knee Prosthesis Protective Cover, Custom-Shaped

Nationwide rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Rates data updated July 2026.

Facilitymedian $525 · 10th–90th $295$1,6600%10%10th90th$525Professionalmedian $389 · 10th–90th $282$7760%20%10th90th$389$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$645.65