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Endoskeletal Knee, Adjustable Stance Flexion

Ohio rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Rates data updated July 2026.

How much does Endoskeletal Knee, Adjustable Stance Flexion cost?

$1,230

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,239 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 9 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$1,175$1,047 to $1,549
FacilityA hospital or hospital-owned outpatient department$2,239$1,778 to $2,570

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,047 to $3,715Professionalmedian $1,175 · 10th to 90th $891 to $2,344
$1K$2K$5Kfacility $2,239professional $1,175

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
$1,047.13
Median
$1,047.13
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,047.13
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,344.23
Typical High
$4,677.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,318.26
Typical High
$2,884.03
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$2,630.27
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,949.84
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,348.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,258.93
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,905.46
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,778.28
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$1,513.56

Where Ohio sits

The same service costs 2.6 times more in Kansas 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.

Ohio· 27th of 51

$1,230

KS $2,399DE $933

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.