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Endoskeletal Knee, Adjustable Stance Flexion

West Virginia 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?

$1,096

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $1,047 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$1,122$1,047 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,047$1,047 to $1,259

How much rates vary

Facilitymedian $1,047 · 10th to 90th $1,047 to $2,239Professionalmedian $1,122 · 10th to 90th $1,047 to $1,479
$1K$2K$5K$10Kfacility $1,047professional $1,122

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
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,122.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,951.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$10,715.19
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$1,737.80

Where West Virginia 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.

West Virginia· 41st of 51

$1,096

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.