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Endoskeletal Above-Knee, Flexible Protective Cover

Kentucky 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?

$661

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $741 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$661$562 to $676
FacilityA hospital or hospital-owned outpatient department$741$537 to $1,202

How much rates vary

Facilitymedian $741 · 10th to 90th $537 to $1,738Professionalmedian $661 · 10th to 90th $501 to $891
$500$1K$2K$5Kfacility $741professional $661

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
$537.03
Median
$537.03
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$707.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$1,949.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$891.25
Typical High
$6,165.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$758.58
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$870.96

Where Kentucky 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.

Kentucky· 36th of 51

$661

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.