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Offset Knee Joint, Heavy-Duty

Pennsylvania rates for HCPCS L2395

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

Rates data updated July 2026.

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

$87.10

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $204 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$87.10$79.43 to $117
FacilityA hospital or hospital-owned outpatient department$204$72.44 to $282

How much rates vary

Facilitymedian $204 · 10th to 90th $72 to $661Professionalmedian $87 · 10th to 90th $72 to $178
$100$1K$10Kfacility $204professional $87

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
$72.44
Median
$72.44
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$141.25
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
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$109.65
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$338.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$177.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$281.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$154.88
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$588.84
Typical High
$1,023.29
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$177.83

Where Pennsylvania sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 49th of 51

$87.10

HI $251DC $72.44

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.