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Prosthetic Knee, Polycentric, Mechanical Stance Lock

Vermont 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?

$617

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $537 to $646.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $676 · 10th to 90th $631 to $813Professionalmedian $589 · 10th to 90th $537 to $708
$500$1K$2Kfacility $676professional $589

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
$537.03
Median
$537.03
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$660.69
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$2,238.72

Where Vermont 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.

Vermont· 33rd of 51

$617

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.