go back

Endoskeletal Below-Knee, Flexible Protective Cover

New Jersey 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?

$355

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $447 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$355$309 to $724
FacilityA hospital or hospital-owned outpatient department$447$447 to $468

How much rates vary

Facilitymedian $447 · 10th to 90th $275 to $724Professionalmedian $355 · 10th to 90th $257 to $724
$500$1Kfacility $447professional $355

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$316.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$128.82
Median
$128.82
Typical High
$158.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$51.29
Median
$51.29
Typical High
$63.10
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$38.90
Median
$38.90
Typical High
$46.77
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$25.70
Median
$25.70
Typical High
$31.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$933.25
Typical High
$933.25
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$407.38
Typical High
$707.95

Where New Jersey 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.

New Jersey· 48th of 51

$355

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.