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Exoskeletal Above-Knee System, Ultra-Light

New Hampshire rates for HCPCS L5790

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

Rates data updated July 2026.

Facilitymedian $1,175 · 10th–90th $646$1,4450%20%10th90th$1,175Professionalmedian $776 · 10th–90th $427$1,0000%20%10th90th$776$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$537.03
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
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$588.84
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$1,000.00
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,659.59