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Below-Knee Prosthesis Protective Cover, Custom-Shaped

Florida rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Rates data updated July 2026.

How much does Below-Knee Prosthesis Protective Cover, Custom-Shaped cost?

$339

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $339 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$282 to $479
FacilityA hospital or hospital-owned outpatient department$339$309 to $1,202

How much rates vary

Facilitymedian $339 · 10th to 90th $275 to $1,202Professionalmedian $339 · 10th to 90th $275 to $537
$200$500$1Kfacility $339professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$489.78
Typical High
$588.84
AvMed
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$398.11
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$398.11
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$478.63
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$660.69

Where Florida sits

The same service costs 2.8 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 48th of 51

$339

HI $794NE $282

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.