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Endoskeletal Knee, Microprocessor Swing and Stance Control

Louisiana 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?

$16,596

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $16,596 for this service. The price depends on where it is billed: about $15,849 from a physician practice, and about $25,119 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 5 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$15,849$13,490 to $21,380
FacilityA hospital or hospital-owned outpatient department$25,119$19,498 to $37,154

How much rates vary

Facilitymedian $25,119 · 10th to 90th $16,596 to $48,978Professionalmedian $15,849 · 10th to 90th $12,023 to $23,988
$100$1K$10Kfacility $25,119professional $15,849

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
$16,595.87
Median
$16,595.87
Typical High
$23,988.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$15,848.93
Typical High
$23,988.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$43,651.58
Typical High
$60,255.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$20,892.96
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$25,703.96
Typical High
$25,703.96
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
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$23,988.33
Typical High
$35,481.34
United
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$13,803.84
Typical High
$19,952.62

Where Louisiana 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.

Louisiana· 25th of 51

$16,596

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.