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Knee Extension Assist, Above-Knee or Hip Disarticulation

Washington rates for HCPCS L5850

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

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $115$3550%20%10th90th$155Professionalmedian $129 · 10th–90th $76$3020%10%20%10th90th$129$2.0$10.0$50.0$200.0$1.0K

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
$100.00
Median
$229.09
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$660.69
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$154.88
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$173.78
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
$100.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$229.09
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$128.82
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$169.82
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$204.17
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$309.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$154.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$144.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$131.83
Typical High
$234.42