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Endoskeletal Above-Knee, Flexible Protective Cover

Illinois 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 Illinois, 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 $1,380 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$676 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,380$676 to $2,455

How much rates vary

Facilitymedian $1,380 · 10th to 90th $676 to $6,918Professionalmedian $676 · 10th to 90th $513 to $1,380
$500$1K$2K$5K$10Kfacility $1,380professional $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
$676.08
Median
$676.08
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,630.27
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,513.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,737.80
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
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,122.02

Where Illinois 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.

Illinois· 26th 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.