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Endoskeletal Knee, Microprocessor Stance Phase Control

New Mexico 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?

$12,303

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $12,303 for this service. The price depends on where it is billed: about $12,303 from a physician practice, and about $15,488 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$12,303$10,715 to $16,982
FacilityA hospital or hospital-owned outpatient department$15,488$11,220 to $19,055

How much rates vary

Facilitymedian $15,488 · 10th to 90th $6,457 to $22,909Professionalmedian $12,303 · 10th to 90th $9,772 to $33,884
$10K$20K$50K$100Kfacility $15,488professional $12,303

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
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$12,302.69
Typical High
$95,499.26
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
$33,113.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$22,387.21
Typical High
$33,884.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$15,488.17
Typical High
$22,908.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$22,908.68
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$15,488.17
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$10,000.00
Typical High
$15,135.61

Where New Mexico 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.

New Mexico· 30th of 51

$12,303

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.