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Exoskeletal Knee, Polycentric, Mechanical Stance Lock

Pennsylvania rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Rates data updated July 2026.

How much does Exoskeletal Knee, Polycentric, Mechanical Stance Lock cost?

$468

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $1,202 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$457$389 to $617
FacilityA hospital or hospital-owned outpatient department$1,202$417 to $1,862

How much rates vary

Facilitymedian $1,202 · 10th to 90th $389 to $3,090Professionalmedian $457 · 10th to 90th $363 to $871
$500$1K$2K$5K$10K$20K$50Kfacility $1,202professional $457

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
$389.05
Median
$389.05
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$741.31
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
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,698.24
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$891.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,513.56
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$741.31
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,089.30
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$912.01

Where Pennsylvania sits

The same service costs 3.9 times more in Hawaii than in Delaware. 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· 45th of 51

$468

HI $1,514DE $389

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.