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Prosthetic Knee, Polycentric, Mechanical Stance Lock

Colorado rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Rates data updated July 2026.

How much does Prosthetic Knee, Polycentric, Mechanical Stance Lock cost?

$661

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $912 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 7 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$617$501 to $676
FacilityA hospital or hospital-owned outpatient department$912$676 to $1,288

How much rates vary

Facilitymedian $912 · 10th to 90th $331 to $1,622Professionalmedian $617 · 10th to 90th $447 to $871
$500$1K$2K$5Kfacility $912professional $617

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
$676.08
Median
$676.08
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,698.24
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,071.52
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$912.01
Typical High
$1,584.89
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$2,511.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,570.40
Typical High
$2,884.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$724.44
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$776.25

Where Colorado sits

The same service costs 4.5 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.

Colorado· 20th of 51

$661

HI $2,042DE $457

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.