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Endoskeletal Knee, Microprocessor Swing and Stance Control

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $15,136 for this service. Most negotiated rates run $13,183 to $16,218.

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.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $11,749 to $28,840Professionalmedian $15,136 · 10th to 90th $12,023 to $21,878
$10K$20K$50K$100Kfacility $19,498professional $15,136

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
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$15,135.61
Typical High
$21,877.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$19,952.62
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
$16,218.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$20,417.38
Median
$28,840.32
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$19,498.45
Typical High
$28,840.32
United
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$15,135.61
Typical High
$22,387.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$24,547.09

Where Maryland 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.

Maryland· 37th 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.