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Below-Knee Prosthesis Protective Cover, Custom-Shaped

Alabama rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $398$7240%50%10th90th$479Professionalmedian $417 · 10th–90th $269$5890%20%10th90th$417$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
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$489.78