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Below-Knee Prosthesis Protective Cover, Custom-Shaped

Kansas rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $204$7590%20%10th90th$603Professionalmedian $724 · 10th–90th $316$7240%50%10th$724$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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$389.05
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$524.81
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$501.19