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Endoskeletal Above-Knee, Flexible Protective Cover

Pennsylvania 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?

$617

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $1,698 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 9 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$617$550 to $851
FacilityA hospital or hospital-owned outpatient department$1,698$603 to $2,692

How much rates vary

Facilitymedian $1,698 · 10th to 90th $562 to $4,467Professionalmedian $617 · 10th to 90th $479 to $1,259
$500$1K$2K$5K$10K$20K$50Kfacility $1,698professional $617

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
$562.34
Median
$562.34
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$1,047.13
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,621.81
Typical High
$2,344.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$1,288.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$2,187.76
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$1,047.13
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$3,019.95
Typical High
$4,897.79
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,513.56
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,258.93

Where Pennsylvania 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.

Pennsylvania· 42nd of 51

$617

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.