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Endoskeletal Knee, Microprocessor Swing and Stance Control

Missouri 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?

$17,783

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $17,783 for this service. The price depends on where it is billed: about $17,378 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 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$14,791 to $20,893
FacilityA hospital or hospital-owned outpatient department$23,442$19,498 to $29,512

How much rates vary

Facilitymedian $23,442 · 10th to 90th $13,804 to $54,954Professionalmedian $17,378 · 10th to 90th $12,882 to $34,674
$10K$20K$50K$100Kfacility $23,442professional $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
$13,182.57
Median
$19,498.45
Typical High
$19,498.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$19,498.45
Typical High
$123,026.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$21,877.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$102,329.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$17,378.01
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$16,218.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$23,442.29
Typical High
$64,565.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$14,454.40
Typical High
$144,543.98
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$23,442.29
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$14,454.40
Typical High
$21,877.62

Where Missouri 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.

Missouri· 20th of 51

$17,783

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.