go back

Endoskeletal Knee, Powered Flexion/Extension Assist

Colorado rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Rates data updated July 2026.

How much does Endoskeletal Knee, Powered Flexion/Extension Assist cost?

$8,913

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $8,913 for this service. The price depends on where it is billed: about $8,913 from a physician practice, and about $12,303 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 7 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$8,913$7,413 to $9,120
FacilityA hospital or hospital-owned outpatient department$12,303$8,913 to $17,783

How much rates vary

Facilitymedian $12,303 · 10th to 90th $8,913 to $23,988Professionalmedian $8,913 · 10th to 90th $6,761 to $13,183
$10K$20K$50Kfacility $12,303professional $8,913

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
$8,912.51
Median
$8,912.51
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$8,912.51
Typical High
$12,022.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$21,877.62
Typical High
$38,904.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$16,595.87
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$12,589.25
Typical High
$22,387.21
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$28,183.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$33,113.11
Typical High
$38,018.94
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$18,197.01
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,748.98
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,762.47
Typical High
$12,302.69

Where Colorado sits

The same service costs 2.8 times more in Kansas than in California. 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.

Colorado· 35th of 51

$8,913

KS $21,380CA $7,586

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.