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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 July 2026.

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

$912

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $1,862 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$912$759 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,862$912 to $4,266

How much rates vary

Facilitymedian $1,862 · 10th to 90th $912 to $6,457Professionalmedian $912 · 10th to 90th $708 to $1,585
$100$1K$10Kfacility $1,862professional $912

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
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,786.30
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,698.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,698.24
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,019.95
Typical High
$3,388.44
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,288.25
Typical High
$1,949.84
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,122.02

Where Michigan 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.

Michigan· 21st of 51

$912

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.