Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS L5718 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Exoskeletal Knee-shin System Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5718 |
National average reimbursement for HCPCS L5718 by major payers:
$972.53
$642.64
$690.80
$1,319.05
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L5718.
HCPCS L5718
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,309.05Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$739.52Published rateQuest Diagnostics Incorporated
$640.00Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$522.71Published rateChatuge Regional Hospital Inc
$474.86Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L5718 vs. Other Exoskeletal Knee-shin System Additions Codes
The HCPCS L5718 code is part of the Prosthetic Procedures services used for Exoskeletal Knee-shin System Additions. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L5718 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L5716-HCPCS | Moderate | Addition, exoskeletal knee-shin system, polycentric, mechanical stance phaselock |
| L5718-HCPCS | Moderate | Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control |
| L5722-HCPCS | High | Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5718. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5718 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L5718) and we'll show you how you compare in 15 minutes or less.