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Endoskeletal Knee, Microprocessor Stance Phase Control

Georgia rates for HCPCS L5858

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

Rates data updated July 2026.

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

$13,490

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $13,490 for this service. The price depends on where it is billed: about $13,490 from a physician practice, and about $22,909 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 6 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$13,490$10,000 to $18,621
FacilityA hospital or hospital-owned outpatient department$22,909$9,333 to $37,154

How much rates vary

Facilitymedian $22,909 · 10th to 90th $9,333 to $85,114Professionalmedian $13,490 · 10th to 90th $9,333 to $22,387
$10K$20K$50Kfacility $22,909professional $13,490

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$27,542.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$10,964.78
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$54,954.09
Typical High
$85,113.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$18,620.87
Typical High
$28,183.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,054.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$27,542.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$22,908.68
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$15,135.61
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$11,220.18
Typical High
$21,877.62

Where Georgia sits

The same service costs 2.3 times more in South Dakota 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.

Georgia· 20th of 51

$13,490

SD $22,387DE $9,772

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.