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Exoskeletal Above-Knee System, Ultra-Light

Ohio 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?

$513

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $955 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$490$437 to $646
FacilityA hospital or hospital-owned outpatient department$955$741 to $1,072

How much rates vary

Facilitymedian $955 · 10th to 90th $437 to $1,549Professionalmedian $490 · 10th to 90th $427 to $1,000
$500$1K$2Kfacility $955professional $490

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
$436.52
Median
$436.52
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$1,174.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$1,047.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$602.56
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$616.60
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$794.33
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$660.69

Where Ohio 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.

Ohio· 33rd of 51

$513

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.