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Endoskeletal Knee, Powered Flexion/Extension Assist

Georgia 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?

$10,965

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $10,965 for this service. The price depends on where it is billed: about $10,471 from a physician practice, and about $17,783 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 6 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$10,471$7,762 to $14,791
FacilityA hospital or hospital-owned outpatient department$17,783$7,413 to $28,840

How much rates vary

Facilitymedian $17,783 · 10th to 90th $7,413 to $66,069Professionalmedian $10,471 · 10th to 90th $7,413 to $17,783
$5K$10K$20K$50Kfacility $17,783professional $10,471

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
$7,413.10
Median
$7,413.10
Typical High
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,511.38
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$42,657.95
Typical High
$66,069.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$14,791.08
Typical High
$22,908.68
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
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
$21,379.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$17,782.79
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$8,709.64
Typical High
$17,378.01

Where Georgia 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.

Georgia· 19th of 51

$10,965

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.