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Exoskeletal Knee, Pneumatic/Hydra-Pneumatic Swing Control

New York 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?

$832

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $871 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$832$708 to $1,148
FacilityA hospital or hospital-owned outpatient department$871$603 to $1,445

How much rates vary

Facilitymedian $871 · 10th to 90th $603 to $2,089Professionalmedian $832 · 10th to 90th $589 to $2,089
$500$1K$2K$5K$10K$20K$50Kfacility $871professional $832

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
$501.19
Median
$707.95
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,818.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,398.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,148.15
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,071.52
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,290.87
Typical High
$5,370.32
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,479.11
Typical High
$2,691.53
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$630.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$870.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,348.96
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,023.29
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$2,290.87
Univera
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$831.76
Univera
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$870.96

Where New York 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.

New York· 33rd of 51

$832

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.