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Endoskeletal Knee, Microprocessor Swing Phase Control

North Carolina rates for HCPCS L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type

Rates data updated July 2026.

Facilitymedian $7,943 · 10th–90th $4,677$16,5960%20%10th90th$7,943Professionalmedian $7,762 · 10th–90th $4,467$7,9430%20%40%10th90th$7,762$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$7,762.47
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$10,232.93
Typical High
$20,417.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,918.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,128.61
Typical High
$6,760.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$8,511.38
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$8,511.38
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,128.61
Typical High
$7,244.36
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$75,857.76