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Prosthetic Knee, Polycentric, Mechanical Stance Lock

Hawaii 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?

$2,042

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $2,042 for this service. Most negotiated rates run $776 to $2,042.

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.

How much rates vary

Facilitymedian $692 · 10th to 90th $661 to $1,585Professionalmedian $2,042 · 10th to 90th $372 to $2,138
$500$1K$2Kfacility $692professional $2,042

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,862.09
Typical High
$2,511.89
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,137.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,041.74
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$2,454.71

Where Hawaii 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.

Hawaii· 1st of 51

$2,042

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.