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Below-Knee Prosthesis Protective Cover, Custom-Shaped

Nevada rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Rates data updated July 2026.

Facilitymedian $234 · 10th–90th $234$7410%50%90th$234Professionalmedian $372 · 10th–90th $234$1,0000%10%10th90th$372$10.0$50.0$200.0$1.0K

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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$3,162.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$478.63
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$1,258.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Select Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$812.83