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Endoskeletal Knee, Powered Flexion/Extension Assist

Idaho 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?

$14,125

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $14,125 for this service. The price depends on where it is billed: about $12,882 from a physician practice, and about $17,378 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 8 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$12,882$9,772 to $17,378
FacilityA hospital or hospital-owned outpatient department$17,378$14,454 to $17,783

How much rates vary

Facilitymedian $17,378 · 10th to 90th $11,482 to $21,878Professionalmedian $12,882 · 10th to 90th $7,762 to $20,417
$200$500$1K$2K$5K$10K$20Kfacility $17,378professional $12,882

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
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$11,748.98
Typical High
$15,135.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$17,378.01
Typical High
$26,302.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19,498.45
Median
$20,417.38
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$9,772.37
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$15,848.93
Typical High
$19,498.45
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$17,378.01
Typical High
$18,620.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,782.79
Typical High
$17,782.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$20,417.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,620.87
Typical High
$47,863.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$17,378.01
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$11,748.98
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,762.47
Typical High
$12,302.69

Where Idaho 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.

Idaho· 10th of 51

$14,125

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.