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Endoskeletal Knee, Pneumatic Swing Phase Control

Maryland rates for HCPCS L5830

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

Rates data updated October 2026.

How much does Endoskeletal Knee, Pneumatic Swing Phase Control cost?

$1,349

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $1,349 for this service. Most negotiated rates run $1,230 to $1,660.

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.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,202 to $1,660Professionalmedian $1,349 · 10th to 90th $1,175 to $1,778
$1K$2Kfacility $1,660professional $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$575.44
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$234.42
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$173.78
Median
$194.98
Typical High
$199.53
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$117.49
Median
$131.83
Typical High
$131.83
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,570.40
Typical High
$3,801.89
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,513.56
United
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,949.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,137.96

Where Maryland sits

The same service costs 3.5 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.

Maryland· 39th of 51

$1,349

HI $4,169DE $1,202

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.