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Endoskeletal Knee, Microprocessor Stance Phase Control

West Virginia 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?

$10,965

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $10,965 for this service. The price depends on where it is billed: about $11,482 from a physician practice, and about $10,715 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 4 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$11,482$10,715 to $11,749
FacilityA hospital or hospital-owned outpatient department$10,715$10,715 to $13,183

How much rates vary

Facilitymedian $10,715 · 10th to 90th $10,715 to $22,909Professionalmedian $11,482 · 10th to 90th $10,715 to $15,136
$10K$20K$50K$100Kfacility $10,715professional $11,482

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
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$11,748.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$30,199.52
CareSource
Setting
Professional
Modifier
Global
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$31,622.78
Typical High
$31,622.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$109,647.82
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$14,125.38
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$13,803.84
Typical High
$18,197.01

Where West Virginia 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.

West Virginia· 43rd of 51

$10,965

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.