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Endoskeletal Knee, Powered Flexion/Extension Assist

Kansas 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?

$21,380

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $21,380 for this service. The price depends on where it is billed: about $21,380 from a physician practice, and about $14,125 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$21,380$11,482 to $21,380
FacilityA hospital or hospital-owned outpatient department$14,125$11,482 to $17,378

How much rates vary

Facilitymedian $14,125 · 10th to 90th $10,715 to $20,893Professionalmedian $21,380 · 10th to 90th $8,128 to $21,380
$10K$20K$50Kfacility $14,125professional $21,380

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
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$11,220.18
Typical High
$14,454.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
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
$20,417.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$11,481.54
Typical High
$81,283.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$8,709.64
Typical High
$89,125.09
United
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$14,125.38
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$13,489.63

Where Kansas 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.

Kansas· 1st of 51

$21,380

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.