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Endoskeletal Knee, Pneumatic Swing, Friction Stance

Maine rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Rates data updated July 2026.

How much does Endoskeletal Knee, Pneumatic Swing, Friction Stance cost?

$1,585

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $2,818 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 6 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$1,585$1,230 to $2,399
FacilityA hospital or hospital-owned outpatient department$2,818$1,622 to $3,236

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,349 to $3,467Professionalmedian $1,585 · 10th to 90th $1,000 to $2,399
$1K$2K$5Kfacility $2,818professional $1,585

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
$977.24
Median
$1,230.27
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$3,715.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,380.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,884.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,230.27
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,348.96
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$2,398.83

Where Maine sits

The same service costs 2.4 times more in Massachusetts than in Nebraska. 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.

Maine· 13th of 51

$1,585

MA $2,399NE $1,000

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.