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Exoskeletal Below-Knee System, Ultra-Light

Virginia 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?

$427

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $631 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 8 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$355$331 to $468
FacilityA hospital or hospital-owned outpatient department$631$427 to $631

How much rates vary

Facilitymedian $631 · 10th to 90th $331 to $794Professionalmedian $355 · 10th to 90th $302 to $646
$200$500$1K$2K$5K$10Kfacility $631professional $355

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
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$954.99
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$630.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$416.87
Sentara
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$1,380.38
Sentara
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$467.74
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$489.78

Where Virginia 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.

Virginia· 21st of 51

$427

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.