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Endoskeletal Knee, Microprocessor Swing and Stance Control

Rhode Island 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?

$15,488

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $15,488 for this service. The price depends on where it is billed: about $15,488 from a physician practice, and about $52,481 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 4 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$15,488$12,589 to $16,982
FacilityA hospital or hospital-owned outpatient department$52,481$35,481 to $60,256

How much rates vary

Facilitymedian $52,481 · 10th to 90th $16,982 to $66,069Professionalmedian $15,488 · 10th to 90th $12,589 to $19,953
$10K$20K$50K$100Kfacility $52,481professional $15,488

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$13,803.84
Typical High
$16,982.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$56,234.13
Typical High
$66,069.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$15,488.17
Typical High
$25,118.86
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
$11,748.98
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
$12,882.50
Median
$16,595.87
Typical High
$23,988.33

Where Rhode Island 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.

Rhode Island· 33rd of 51

$15,488

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.