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Exoskeletal Above-Knee System, Ultra-Light

New Jersey 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?

$437

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $324 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 5 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$437$372 to $692
FacilityA hospital or hospital-owned outpatient department$324$316 to $646

How much rates vary

Facilitymedian $324 · 10th to 90th $316 to $871Professionalmedian $437 · 10th to 90th $339 to $871
$500$1K$2K$5Kfacility $324professional $437

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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$588.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,148.15
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$851.14

Where New Jersey 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.

New Jersey· 49th of 51

$437

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.