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Endoskeletal Knee, Pneumatic Swing Phase Control

Maine rates for HCPCS L5830

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

Rates data updated July 2026.

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

$1,738

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $3,162 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$1,698$1,380 to $2,630
FacilityA hospital or hospital-owned outpatient department$3,162$1,820 to $3,631

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,514 to $3,802Professionalmedian $1,698 · 10th to 90th $1,175 to $2,630
$1.0K$2.0K$5.0K$10.0Kfacility $3,162professional $1,698

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
$1,174.90
Median
$1,380.38
Typical High
$2,041.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,630.78
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,162.28
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,511.89
Typical High
$2,630.27

Where Maine sits

The same service costs 3.8 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $1,738 · 15th of 51
HI $4,169NE $1,096

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.