go back

Endoskeletal Above-Knee, Flexible Protective Cover

Georgia rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Rates data updated July 2026.

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

$708

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $1,148 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 6 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$676$537 to $933
FacilityA hospital or hospital-owned outpatient department$1,148$501 to $1,738

How much rates vary

Facilitymedian $1,148 · 10th to 90th $468 to $4,169Professionalmedian $676 · 10th to 90th $468 to $1,122
$500$1K$2Kfacility $1,148professional $676

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
$467.74
Median
$467.74
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,691.53
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,513.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
CareSource
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,548.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,148.15
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,096.48

Where Georgia sits

The same service costs 2.9 times more in Hawaii than in Nebraska. 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.

Georgia· 25th of 51

$708

HI $1,413NE $490

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.