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Straight Knee Joint, Heavy-Duty

Vermont 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?

$93.33

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $70.79 to $120.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $95 to $141Professionalmedian $93 · 10th to 90th $71 to $158
$100$200$500facility $98professional $93

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$186.21
United
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$144.54
Typical High
$389.05

Where Vermont 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.

Vermont· 32nd of 51

$93.33

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.