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Exoskeletal Knee, Pneumatic/Hydra-Pneumatic Swing Control

Iowa rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Rates data updated July 2026.

How much does Exoskeletal Knee, Pneumatic/Hydra-Pneumatic Swing Control cost?

$1,148

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,445 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 7 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$1,148$776 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,445$1,047 to $2,188

How much rates vary

Facilitymedian $1,445 · 10th to 90th $933 to $3,890Professionalmedian $1,148 · 10th to 90th $589 to $2,138
$500$1K$2K$5Kfacility $1,445professional $1,148

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
$776.25
Median
$1,348.96
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,148.15
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,862.09
Typical High
$2,344.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$7,079.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,398.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$912.01
Typical High
$1,659.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$1,819.70

Where Iowa sits

The same service costs 3.7 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.

Iowa· 13th of 51

$1,148

HI $2,344DE $631

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.