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Endoskeletal Above-Knee, Flexible Protective Cover

Ohio 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?

$724

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $724 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 8 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$661 to $933
FacilityA hospital or hospital-owned outpatient department$1,380$1,122 to $1,514

How much rates vary

Facilitymedian $1,380 · 10th to 90th $661 to $2,344Professionalmedian $676 · 10th to 90th $513 to $1,413
$500$1K$2K$5Kfacility $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
$660.69
Median
$660.69
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,778.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$1,348.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$776.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$741.31
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,174.90
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$912.01

Where Ohio 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.

Ohio· 21st of 51

$724

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.