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Endoskeletal Below-Knee, Flexible Protective Cover

Illinois rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Rates data updated October 2026.

How much does Endoskeletal Below-Knee, Flexible Protective Cover cost?

$550

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $977 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$347 to $589
FacilityA hospital or hospital-owned outpatient department$977$851 to $1,778

How much rates vary

Facilitymedian $977 · 10th to 90th $447 to $4,074Professionalmedian $550 · 10th to 90th $331 to $851
$500$1K$2K$5Kfacility $977professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$724.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$173.78
Median
$173.78
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$69.18
Median
$69.18
Typical High
$125.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$52.48
Median
$52.48
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$34.67
Median
$34.67
Typical High
$63.10
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,174.90
Typical High
$4,897.79
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$812.83
Typical High
$1,023.29
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Molina
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$588.84
United
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$389.05
Typical High
$851.14

Where Illinois sits

The same service costs 2.8 times more in Iowa than in Delaware. 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.

Illinois· 17th of 51

$550

IA $933DE $331

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.