go back

Endoskeletal Above-Knee, Flexible Protective Cover

Michigan 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?

$776

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $1,514 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$776$661 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,514$776 to $3,631

How much rates vary

Facilitymedian $1,514 · 10th to 90th $741 to $5,495Professionalmedian $776 · 10th to 90th $589 to $1,349
$10$100$1K$10Kfacility $1,514professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$676.08
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,073.80
Typical High
$7,762.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,348.96
Typical High
$1,412.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,380.38
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,570.40
Typical High
$2,884.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,071.52
Typical High
$1,659.59
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$912.01

Where Michigan 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.

Michigan· 18th of 51

$776

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.