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Endoskeletal Above-Knee, Flexible Protective Cover

Oregon 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?

$1,072

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,288 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$1,023$631 to $1,318
FacilityA hospital or hospital-owned outpatient department$1,288$1,072 to $1,349

How much rates vary

Facilitymedian $1,288 · 10th to 90th $1,023 to $1,349Professionalmedian $1,023 · 10th to 90th $513 to $1,514
$100$200$500$1K$2K$5Kfacility $1,288professional $1,023

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
Professional
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,122.02
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
$512.86
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,511.89
Typical High
$3,019.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,380.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,513.56
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,348.96
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,348.96
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$1,513.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,174.90
Typical High
$1,412.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$5,370.32
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$758.58
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$1,071.52

Where Oregon 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.

Oregon· 11th of 51

$1,072

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.