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Below-Knee Prosthesis Protective Cover, Custom-Shaped

Colorado rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Rates data updated July 2026.

Facilitymedian $537 · 10th–90th $204$9120%10%20%10th90th$537Professionalmedian $355 · 10th–90th $282$4900%20%40%10th90th$355$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
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$380.19
Typical High
$724.44
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
$660.69
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$537.03
Typical High
$912.01
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,479.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,348.96
Typical High
$1,513.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$316.23
Typical High
$478.63