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Endoskeletal Knee, Microprocessor Swing and Stance Control

West Virginia 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?

$14,125

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $14,125 for this service. The price depends on where it is billed: about $14,791 from a physician practice, and about $13,804 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 5 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$14,791$13,804 to $15,136
FacilityA hospital or hospital-owned outpatient department$13,804$13,804 to $16,982

How much rates vary

Facilitymedian $13,804 · 10th to 90th $13,804 to $30,200Professionalmedian $14,791 · 10th to 90th $13,804 to $19,498
$10K$20K$50K$100Kfacility $13,804professional $14,791

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
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$38,904.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$40,738.03
Typical High
$40,738.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$141,253.75
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$18,197.01
Typical High
$30,199.52
United
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$17,782.79
Typical High
$23,442.29

Where West Virginia 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.

West Virginia· 47th of 51

$14,125

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.