HCPCS Code: L5830
Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$2,064.00) after the $283 annual deductible. Your 20% coinsurance: ~$516.00. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
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About Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830)
HCPCS code L5830 is the Medicare and insurance billing code for Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
Knee braces and orthotic supports are prescribed to stabilize, protect, or immobilize the knee joint. They are commonly used after surgery, for chronic conditions like osteoarthritis, or during recovery from ligament injuries. Proper fitting is essential for effectiveness.
Many patients find that purchasing DME items like pneumatic knee-shin prosthesis with swing phase control (l5830) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code L5830?
HCPCS code L5830 is the Medicare and insurance billing code for Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830) cost?
The typical private insurance price for Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830) is $5,160.00. If paying cash without insurance, expect to pay around $9,070.00. The estimated Medicare Allowed Amount is $2,580.00. The same or equivalent product is available on Amazon for approximately $2,721.00.
How much does Medicare pay for Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830)?
The estimated Medicare Allowed Amount for Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830) is $2,580.00. Under Original Medicare Part B, Medicare covers 80% (approximately $2,064.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $516.00. Medicare Advantage plan costs vary.
Can I buy Pneumatic Knee-Shin Prosthesis with Swing Phase Control (L5830) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code L5830 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
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Search EquipmentPrices are estimates and may vary. We earn commissions as an Amazon Associate and through Medicare insurance referrals. Actual prices may vary based on inventory and promotions.