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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 July 2026.

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

$550

Typical negotiated rate. In Illinois, July 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 $724 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 7 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$550$347 to $589
FacilityA hospital or hospital-owned outpatient department$724$347 to $1,288

How much rates vary

Facilitymedian $724 · 10th to 90th $347 to $3,631Professionalmedian $550 · 10th to 90th $339 to $776
$500$1K$2K$5Kfacility $724professional $550

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
$346.74
Median
$346.74
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$354.81
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,380.38
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$812.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,023.29
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$616.60

Where Illinois sits

The same service costs 2.7 times more in Hawaii 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· 15th of 51

$550

HI $891DE $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.