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Endoskeletal Knee, Microprocessor Swing and Stance Control

Kansas 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?

$27,542

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $27,542 for this service. The price depends on where it is billed: about $27,542 from a physician practice, and about $23,442 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 6 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$27,542$18,197 to $27,542
FacilityA hospital or hospital-owned outpatient department$23,442$19,498 to $23,988

How much rates vary

Facilitymedian $23,442 · 10th to 90th $8,318 to $29,512Professionalmedian $27,542 · 10th to 90th $12,589 to $27,542
$10K$20K$50K$100Kfacility $23,442professional $27,542

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
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$23,988.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$21,877.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$23,988.33
Typical High
$25,703.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$33,884.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$19,952.62
Typical High
$69,183.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$14,454.40
Typical High
$144,543.98
United
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$23,442.29
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$14,454.40
Typical High
$20,417.38

Where Kansas 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.

Kansas· 5th of 51

$27,542

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.