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Exoskeletal Knee, Pneumatic/Hydra-Pneumatic Swing Control

Pennsylvania 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?

$759

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,995 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$759$631 to $955
FacilityA hospital or hospital-owned outpatient department$1,995$676 to $3,020

How much rates vary

Facilitymedian $1,995 · 10th to 90th $631 to $5,012Professionalmedian $759 · 10th to 90th $589 to $1,445
$500$1K$2K$5K$10K$20K$50Kfacility $1,995professional $759

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
$630.96
Median
$630.96
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,348.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
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
$1,047.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$2,691.53
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$1,445.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$2,454.71
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$1,348.96
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,467.37
Typical High
$5,495.41
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,862.09
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,479.11

Where Pennsylvania 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.

Pennsylvania· 40th of 51

$759

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.