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Exoskeletal Knee, Pneumatic/Hydra-Pneumatic Swing Control

Michigan 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?

$1,148

Typical negotiated rate. In Michigan, October 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 $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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,148$912 to $1,585
FacilityA hospital or hospital-owned outpatient department$2,239$1,047 to $4,571

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,000 to $6,918Professionalmedian $1,148 · 10th to 90th $759 to $1,622
$1K$2K$5K$10Kfacility $2,239professional $1,148

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
$912.01
Median
$912.01
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$457.09
Median
$457.09
Typical High
$794.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$181.97
Median
$181.97
Typical High
$323.59
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$138.04
Median
$138.04
Typical High
$239.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$91.20
Median
$91.20
Typical High
$158.49
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$4,786.30
Typical High
$8,912.51
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,584.89
CareSource
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
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
$1,047.13
Typical High
$1,698.24
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$3,090.30
Typical High
$3,388.44
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,258.93
Typical High
$1,621.81
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Priority Health
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Priority Health
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$758.58
Typical High
$1,071.52

Where Michigan 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.

Michigan· 17th of 51

$1,148

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.