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Endoskeletal Knee, Microprocessor Stance Phase Control

Indiana 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?

$11,220

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $11,220 for this service. The price depends on where it is billed: about $11,220 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 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$11,220$10,715 to $12,882
FacilityA hospital or hospital-owned outpatient department$22,909$15,136 to $22,909

How much rates vary

Facilitymedian $22,909 · 10th to 90th $10,715 to $28,184Professionalmedian $11,220 · 10th to 90th $9,772 to $17,378
$10K$20K$50Kfacility $22,909professional $11,220

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
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$10,964.78
Typical High
$16,595.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$22,908.68
Typical High
$28,840.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$12,589.25
Typical High
$22,387.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$29,512.09
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$31,622.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$15,488.17
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$11,220.18
Typical High
$16,218.10

Where Indiana 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.

Indiana· 39th of 51

$11,220

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.