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Endoskeletal Knee, Microprocessor Swing and Stance Control

Montana 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?

$24,547

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $24,547 for this service. The price depends on where it is billed: about $23,442 from a physician practice, and about $28,840 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$23,442$15,488 to $28,840
FacilityA hospital or hospital-owned outpatient department$28,840$22,387 to $30,903

How much rates vary

Facilitymedian $28,840 · 10th to 90th $18,197 to $35,481Professionalmedian $23,442 · 10th to 90th $8,318 to $56,234
$100$1K$10K$100Kfacility $28,840professional $23,442

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
$8,317.64
Median
$23,442.29
Typical High
$123,026.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28,840.32
Median
$28,840.32
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$30,902.95
Typical High
$30,902.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$30,902.95
Typical High
$30,902.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$28,840.32
Typical High
$56,234.13
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$28,840.32
Typical High
$56,234.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$26,915.35
Typical High
$41,686.94
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$22,908.68
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$19,498.45
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$12,882.50
Typical High
$19,952.62

Where Montana 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.

Montana· 8th of 51

$24,547

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.