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Endoskeletal Knee, Powered Flexion/Extension Assist

Indiana 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?

$8,318

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $8,318 for this service. The price depends on where it is billed: about $8,318 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 5 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$8,318$7,413 to $8,710
FacilityA hospital or hospital-owned outpatient department$17,783$10,471 to $17,783

How much rates vary

Facilitymedian $17,783 · 10th to 90th $5,623 to $21,878Professionalmedian $8,318 · 10th to 90th $5,623 to $12,303
$10K$20K$50Kfacility $17,783professional $8,318

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
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,511.38
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$17,782.79
Typical High
$22,387.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$10,964.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$22,908.68
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$12,302.69
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$8,709.64
Typical High
$13,489.63

Where Indiana 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.

Indiana· 46th of 51

$8,318

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.