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Prosthetic Knee, Polycentric, Mechanical Stance Lock

Florida 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?

$537

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $537 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$537$447 to $759
FacilityA hospital or hospital-owned outpatient department$537$501 to $1,950

How much rates vary

Facilitymedian $537 · 10th to 90th $437 to $1,950Professionalmedian $537 · 10th to 90th $437 to $851
$500$1Kfacility $537professional $537

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
$501.19
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$812.83
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
AvMed
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$660.69
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$630.96
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$239.88
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$776.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,047.13

Where Florida 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.

Florida· 44th of 51

$537

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.