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Exoskeletal Above-Knee System, Ultra-Light

Maine rates for HCPCS L5790

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

Rates data updated July 2026.

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

$646

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $1,202 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 6 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$646$525 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,202$676 to $1,349

How much rates vary

Facilitymedian $1,202 · 10th to 90th $575 to $1,445Professionalmedian $646 · 10th to 90th $501 to $1,000
$500$1K$2Kfacility $1,202professional $646

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$588.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,202.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$549.54
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$1,000.00

Where Maine sits

The same service costs 3.0 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.

Maine· 17th of 51

$646

HI $1,175DE $389

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.