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Endoskeletal Knee, Powered Flexion/Extension Assist

North Carolina 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?

$13,183

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $13,183 for this service. The price depends on where it is billed: about $13,183 from a physician practice, and about $13,183 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$13,183$9,550 to $13,490
FacilityA hospital or hospital-owned outpatient department$13,183$11,482 to $17,783

How much rates vary

Facilitymedian $13,183 · 10th to 90th $8,710 to $29,512Professionalmedian $13,183 · 10th to 90th $7,943 to $13,490
$10K$20K$50Kfacility $13,183professional $13,183

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
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$13,182.57
Typical High
$13,182.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$17,782.79
Typical High
$35,481.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$14,791.08
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
$10,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,182.57
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$14,454.40
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$8,709.64
Typical High
$12,882.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$83,176.38
Typical High
$83,176.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$91,201.08
Median
$91,201.08
Typical High
$128,824.96

Where North Carolina 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.

North Carolina· 12th of 51

$13,183

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.