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Endoskeletal Knee, Microprocessor Swing and Stance Control

Delaware 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?

$12,589

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $12,589 for this service. Most negotiated rates run $11,749 to $13,490.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,218 · 10th to 90th $21 to $19,498Professionalmedian $12,589 · 10th to 90th $11,749 to $107,152
$100$1K$10K$100Kfacility $16,218professional $12,589

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
$11,748.98
Median
$12,589.25
Typical High
$107,151.93
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
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$16,982.44
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$15,135.61
Typical High
$21,379.62

Where Delaware 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.

Delaware· 51st of 51

$12,589

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.