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Endoskeletal Knee, Microprocessor Swing and Stance Control

Wyoming 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?

$23,442

Typical negotiated rate. In Wyoming, July 2026.

Insurers have agreed to pay about $23,442 for this service. The price depends on where it is billed: about $23,442 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 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$23,442$14,791 to $28,840
FacilityA hospital or hospital-owned outpatient department$19,953$17,378 to $28,840

How much rates vary

Facilitymedian $19,953 · 10th to 90th $16,982 to $28,840Professionalmedian $23,442 · 10th to 90th $12,882 to $28,840
$20Kfacility $19,953professional $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. 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
$14,791.08
Median
$14,791.08
Typical High
$25,703.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$28,840.32
Typical High
$28,840.32
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
$16,218.10
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$17,378.01
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$12,882.50
Typical High
$19,952.62

Where Wyoming 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.

Wyoming· 11th of 51

$23,442

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.