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Endoskeletal Knee, Powered Flexion/Extension Assist

Michigan 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?

$10,000

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $10,000 for this service. The price depends on where it is billed: about $10,000 from a physician practice, and about $10,471 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 7 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$10,000$8,511 to $17,378
FacilityA hospital or hospital-owned outpatient department$10,471$10,000 to $17,378

How much rates vary

Facilitymedian $10,471 · 10th to 90th $9,772 to $21,380Professionalmedian $10,000 · 10th to 90th $7,762 to $17,378
$100$1K$10Kfacility $10,471professional $10,000

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
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$9,772.37
Typical High
$10,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$17,378.01
Typical High
$18,197.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
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
$9,772.37
Typical High
$19,498.45
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$31,622.78
Typical High
$35,481.34
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$13,489.63
Typical High
$21,379.62
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$14,791.08
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$14,454.40
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$8,317.64
Typical High
$13,489.63

Where Michigan 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.

Michigan· 21st of 51

$10,000

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.