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Endoskeletal Knee, Microprocessor Swing Phase Control

West Virginia 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.

How much does Endoskeletal Knee, Microprocessor Swing Phase Control cost?

$5,012

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $4,898 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$5,248$4,898 to $5,370
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $6,026

How much rates vary

Facilitymedian $4,898 · 10th to 90th $4,898 to $10,715Professionalmedian $5,248 · 10th to 90th $4,898 to $6,918
$5K$10K$20K$50Kfacility $4,898professional $5,248

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
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,370.32
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$13,803.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$14,454.40
Typical High
$14,454.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,456.54
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$8,317.64

Where West Virginia sits

The same service costs 2.4 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

$5,012

HI $10,715DE $4,467

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.