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Endoskeletal Knee, Powered Flexion/Extension Assist

Maine 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?

$11,482

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $11,482 for this service. The price depends on where it is billed: about $10,715 from a physician practice, and about $19,953 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$10,715$8,318 to $14,791
FacilityA hospital or hospital-owned outpatient department$19,953$12,303 to $20,417

How much rates vary

Facilitymedian $19,953 · 10th to 90th $9,772 to $22,909Professionalmedian $10,715 · 10th to 90th $5,623 to $14,791
$10K$20Kfacility $19,953professional $10,715

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$9,772.37
Typical High
$11,481.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$20,417.38
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$6,309.57
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
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$17,782.79
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,471.29
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$14,791.08
Typical High
$14,791.08

Where Maine 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.

Maine· 18th of 51

$11,482

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.