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Exoskeletal Knee, Pneumatic Swing, Friction Stance

New Hampshire rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $661$1,4790%20%10th90th$1,202Professionalmedian $794 · 10th–90th $513$1,0470%20%10th90th$794$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,288.25
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$870.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$741.31
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$1,047.13
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,698.24