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Endoskeletal Knee, Microprocessor Swing and Stance Control

New Mexico 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?

$17,378

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $17,378 for this service. The price depends on where it is billed: about $17,378 from a physician practice, and about $19,953 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$17,378$15,488 to $23,442
FacilityA hospital or hospital-owned outpatient department$19,953$15,488 to $24,547

How much rates vary

Facilitymedian $19,953 · 10th to 90th $8,318 to $30,200Professionalmedian $17,378 · 10th to 90th $12,589 to $30,200
$10K$20K$50K$100Kfacility $19,953professional $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
$16,218.10
Median
$16,218.10
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$16,218.10
Typical High
$123,026.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$23,442.29
Typical High
$27,542.29
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
$42,657.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$28,840.32
Typical High
$43,651.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$20,892.96
Typical High
$28,840.32
Providence
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$19,952.62
Typical High
$35,481.34
United
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$12,882.50
Typical High
$19,952.62

Where New Mexico 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.

New Mexico· 21st of 51

$17,378

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.