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Endoskeletal Above-Knee, Flexible Protective Cover

Maine 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?

$851

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $1,349 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$776$676 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,349$891 to $1,514

How much rates vary

Facilitymedian $1,349 · 10th to 90th $708 to $1,622Professionalmedian $776 · 10th to 90th $537 to $1,122
$500$1K$2Kfacility $1,349professional $776

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,348.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$741.31
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,096.48
Typical High
$1,122.02

Where Maine 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.

Maine· 15th of 51

$851

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.