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Exoskeletal Knee, Pneumatic/Hydra-Pneumatic Swing Control

Massachusetts 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?

$1,288

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $1,820 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$1,288$708 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,820$1,380 to $2,138

How much rates vary

Facilitymedian $1,820 · 10th to 90th $646 to $2,630Professionalmedian $1,288 · 10th to 90th $646 to $1,950
$100$200$500$1K$2K$5K$10Kfacility $1,820professional $1,288

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
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$2,041.74
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$8,912.51
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,148.15
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,905.46
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,071.52
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,949.84
Health New England
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$8,912.51
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,148.15
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,023.29
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,230.27
Typical High
$1,288.25

Where Massachusetts 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.

Massachusetts· 8th of 51

$1,288

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.