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Endoskeletal Knee, Microprocessor Stance Phase Control

Maine 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?

$14,791

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $14,791 for this service. The price depends on where it is billed: about $14,454 from a physician practice, and about $25,704 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$14,454$12,023 to $19,055
FacilityA hospital or hospital-owned outpatient department$25,704$15,849 to $25,704

How much rates vary

Facilitymedian $25,704 · 10th to 90th $14,454 to $29,512Professionalmedian $14,454 · 10th to 90th $9,550 to $19,055
$10K$20K$50Kfacility $25,704professional $14,454

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
$9,549.93
Median
$12,022.64
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$25,703.96
Typical High
$29,512.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$22,387.21
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
$14,454.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$22,908.68
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$12,302.69
Typical High
$14,791.08
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$13,182.57
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$19,054.61
Typical High
$19,054.61

Where Maine 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.

Maine· 17th of 51

$14,791

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.