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Endoskeletal Above-Knee, Flexible Protective Cover

Missouri 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?

$794

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,122 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$724$676 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,122$851 to $1,413

How much rates vary

Facilitymedian $1,122 · 10th to 90th $631 to $2,630Professionalmedian $724 · 10th to 90th $513 to $1,660
$500$1K$2K$5Kfacility $1,122professional $724

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
$630.96
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$933.25
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,047.13

Where Missouri 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.

Missouri· 17th of 51

$794

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.