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Endoskeletal Above-Knee, Flexible Protective Cover

Idaho 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?

$1,072

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,259 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 8 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$977$676 to $1,318
FacilityA hospital or hospital-owned outpatient department$1,259$933 to $1,318

How much rates vary

Facilitymedian $1,259 · 10th to 90th $708 to $1,698Professionalmedian $977 · 10th to 90th $513 to $1,514
$500$1K$2Kfacility $1,259professional $977

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
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,122.02
Typical High
$1,380.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,174.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,318.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,513.56
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$2,089.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,318.26
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$851.14
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$870.96

Where Idaho 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.

Idaho· 10th of 51

$1,072

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.