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Straight Knee Joint, Heavy-Duty

Florida rates for HCPCS L2385

Addition to lower extremity, straight knee joint, heavy-duty, each joint

Rates data updated October 2026.

How much does Straight Knee Joint, Heavy-Duty cost?

$70.79

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $155 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$63.10 to $85.11
FacilityA hospital or hospital-owned outpatient department$155$97.72 to $282

How much rates vary

Facilitymedian $155 · 10th to 90th $98 to $282Professionalmedian $71 · 10th to 90th $23 to $155
$50$100$200facility $155professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$69.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$34.67
Typical High
$45.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.59
Median
$13.80
Typical High
$18.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.33
Median
$10.47
Typical High
$13.80
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.31
Median
$6.92
Typical High
$9.12
AvMed
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
AvMed
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$144.54
Typical High
$154.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$154.88
Typical High
$154.88
Molina
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$23.44
Typical High
$25.70
United
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$100.00
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$75.86
Typical High
$100.00
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$154.88

Where Florida sits

The same service costs 3.2 times more in Hawaii than in Florida. 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.

Florida· 51st of 51

$70.79

HI $224FL $70.79

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.