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Endoskeletal Knee, Microprocessor Swing and Stance Control

Georgia 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?

$17,378

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $17,378 for this service. The price depends on where it is billed: about $17,378 from a physician practice, and about $29,512 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$17,378$13,183 to $23,988
FacilityA hospital or hospital-owned outpatient department$29,512$12,023 to $47,863

How much rates vary

Facilitymedian $29,512 · 10th to 90th $12,023 to $109,648Professionalmedian $17,378 · 10th to 90th $12,023 to $28,840
$10K$20K$50K$100Kfacility $29,512professional $17,378

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
$12,022.64
Median
$12,022.64
Typical High
$35,481.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$14,125.38
Typical High
$24,547.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$21,379.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$70,794.58
Typical High
$109,647.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$23,988.33
Typical High
$35,481.34
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$24,547.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$24,547.09
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
$35,481.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$20,892.96
Median
$29,512.09
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$19,498.45
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$14,454.40
Typical High
$28,183.83

Where Georgia 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.

Georgia· 24th of 51

$17,378

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.