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Endoskeletal Above-Knee, Flexible Protective Cover

Iowa 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?

$933

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,122 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$871$676 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,122$933 to $1,778

How much rates vary

Facilitymedian $1,122 · 10th to 90th $708 to $3,162Professionalmedian $871 · 10th to 90th $490 to $1,585
$500$1K$2K$5Kfacility $1,122professional $871

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
$645.65
Median
$1,071.52
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,584.89
Typical High
$1,949.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,778.28
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,621.81
Typical High
$1,778.28
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,290.87
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,412.54
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$1,348.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,380.38

Where Iowa 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.

Iowa· 13th of 51

$933

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.