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Endoskeletal Knee, Microprocessor Stance Phase Control

Michigan 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?

$12,882

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $12,882 for this service. The price depends on where it is billed: about $12,882 from a physician practice, and about $27,542 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 7 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$12,882$11,482 to $22,387
FacilityA hospital or hospital-owned outpatient department$27,542$13,183 to $60,256

How much rates vary

Facilitymedian $27,542 · 10th to 90th $12,882 to $91,201Professionalmedian $12,882 · 10th to 90th $10,715 to $22,387
$1K$10K$100Kfacility $27,542professional $12,882

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
$12,882.50
Median
$12,882.50
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$12,022.64
Typical High
$12,882.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$67,608.30
Typical High
$128,824.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21,379.62
Median
$22,387.21
Typical High
$23,442.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
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
$14,454.40
Typical High
$24,547.09
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$42,657.95
Typical High
$47,863.01
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$11,481.54
Median
$18,197.01
Typical High
$27,542.29
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$18,620.87
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$18,197.01
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$10,715.19
Typical High
$16,218.10

Where Michigan 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.

Michigan· 23rd of 51

$12,882

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.