go back

Exoskeletal Below-Knee System, Ultra-Light

Michigan rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Rates data updated July 2026.

How much does Exoskeletal Below-Knee System, Ultra-Light cost?

$407

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $851 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$407$331 to $617
FacilityA hospital or hospital-owned outpatient department$851$389 to $1,660

How much rates vary

Facilitymedian $851 · 10th to 90th $355 to $2,512Professionalmedian $407 · 10th to 90th $295 to $631
$10$100$1Kfacility $851professional $407

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
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,862.09
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$691.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,174.90
Typical High
$1,318.26
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$758.58
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$478.63

Where Michigan sits

The same service costs 2.6 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· 24th of 51

$407

HI $724DE $282

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.