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Knee Extension Assist, Above-Knee or Hip Disarticulation

Utah rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $49$2040%20%40%10th90th$76Professionalmedian $107 · 10th–90th $49$6610%10%10th90th$107$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$147.91
Typical High
$194.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$181.97
Select Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$208.93
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$117.49