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Endoskeletal Knee, Microprocessor Swing and Stance Control

Colorado rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Rates data updated July 2026.

How much does Endoskeletal Knee, Microprocessor Swing and Stance Control cost?

$14,791

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $14,791 for this service. The price depends on where it is billed: about $14,791 from a physician practice, and about $21,878 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 7 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$14,791$12,882 to $17,378
FacilityA hospital or hospital-owned outpatient department$21,878$14,791 to $29,512

How much rates vary

Facilitymedian $21,878 · 10th to 90th $8,318 to $39,811Professionalmedian $14,791 · 10th to 90th $11,749 to $21,878
$10K$20K$50K$100Kfacility $21,878professional $14,791

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$25,703.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$14,791.08
Typical High
$19,952.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$36,307.81
Typical High
$64,565.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$17,378.01
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$26,915.35
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$21,877.62
Typical High
$37,153.52
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$17,782.79
Median
$30,199.52
Typical High
$60,255.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$54,954.09
Typical High
$63,095.73
Select Health
Setting
Professional
Modifier
Global
Typical Low
$20,892.96
Median
$30,199.52
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$19,498.45
Typical High
$30,199.52
United
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$12,882.50
Typical High
$19,952.62

Where Colorado sits

The same service costs 2.3 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.

Colorado· 39th of 51

$14,791

HI $29,512DE $12,589

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.