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Exoskeletal Knee, Pneumatic/Hydra-Pneumatic Swing Control

Illinois rates for HCPCS L5780

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

Rates data updated October 2026.

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

$977

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $2,239 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$794 to $1,585
FacilityA hospital or hospital-owned outpatient department$2,239$1,820 to $3,715

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,047 to $9,333Professionalmedian $851 · 10th to 90th $741 to $1,995
$500$1K$2K$5K$10Kfacility $2,239professional $851

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$398.11
Median
$398.11
Typical High
$660.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$158.49
Median
$158.49
Typical High
$263.03
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$120.23
Median
$120.23
Typical High
$194.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$79.43
Median
$79.43
Typical High
$131.83
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,047.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$2,344.23
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,621.81
Typical High
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$812.83
Typical High
$1,862.09

Where Illinois sits

The same service costs 3.1 times more in Hawaii than in Pennsylvania. 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.

Illinois· 23rd of 51

$977

HI $2,344PA $759

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.