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Endoskeletal Knee, Pneumatic Swing, Friction Stance

Michigan 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?

$1,318

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $2,754 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$1,230$1,096 to $2,138
FacilityA hospital or hospital-owned outpatient department$2,754$1,349 to $5,623

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,202 to $8,511Professionalmedian $1,230 · 10th to 90th $1,000 to $2,138
$100$1K$10Kfacility $2,754professional $1,230

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
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,309.57
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,238.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$2,511.89
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$3,981.07
Typical High
$4,466.84
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$2,570.40
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,778.28
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,737.80
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,548.82

Where Michigan 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.

Michigan· 20th of 51

$1,318

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.