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Prosthetic Knee, Polycentric, Mechanical Stance Lock

West Virginia 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?

$513

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $501 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 4 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$501 to $550
FacilityA hospital or hospital-owned outpatient department$501$501 to $676

How much rates vary

Facilitymedian $501 · 10th to 90th $501 to $1,175Professionalmedian $537 · 10th to 90th $501 to $724
$500$1K$2K$5Kfacility $501professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$549.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,380.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$851.14

Where West Virginia 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.

West Virginia· 48th of 51

$513

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.