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Endoskeletal Knee, Microprocessor Swing and Stance Control

Florida 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?

$15,136

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $15,136 for this service. The price depends on where it is billed: about $14,791 from a physician practice, and about $15,488 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$12,589 to $21,878
FacilityA hospital or hospital-owned outpatient department$15,488$14,125 to $54,954

How much rates vary

Facilitymedian $15,488 · 10th to 90th $12,303 to $54,954Professionalmedian $14,791 · 10th to 90th $12,303 to $23,988
$10K$20K$50Kfacility $15,488professional $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
$12,302.69
Median
$14,125.38
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$15,135.61
Typical High
$22,908.68
AvMed
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$29,512.09
AvMed
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$27,542.29
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$40,738.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$16,218.10
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$17,782.79
Typical High
$29,512.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,498.45
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$11,481.54
Median
$14,454.40
Typical High
$19,498.45
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$29,512.09

Where Florida 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.

Florida· 36th of 51

$15,136

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.