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Endoskeletal Knee, Pneumatic Swing Phase Control

Montana rates for HCPCS L5830

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

Rates data updated July 2026.

Facilitymedian $2,239 · 10th–90th $1,660$3,0900%20%40%10th90th$2,239Professionalmedian $1,905 · 10th–90th $741$4,3650%10%20%10th90th$1,905$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,905.46
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$2,398.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$4,365.16
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$4,365.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,290.87
Typical High
$3,235.94
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,778.28
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,698.24
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,737.80