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Endoskeletal Knee, Microprocessor Stance Phase Control

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $12,303 for this service. Most negotiated rates run $10,715 to $13,804.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $14,454 · 10th to 90th $13,183 to $15,849Professionalmedian $10,965 · 10th to 90th $10,715 to $15,136
$10K$20K$50Kfacility $14,454professional $10,965

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
$10,715.19
Median
$10,715.19
Typical High
$13,803.84
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
$15,488.17
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$15,135.61
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$15,135.61
Typical High
$43,651.58

Where Vermont 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.

Vermont· 29th 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.