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Endoskeletal Knee, Powered Flexion/Extension Assist

North Dakota 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?

$16,218

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $16,218 for this service. The price depends on where it is billed: about $16,596 from a physician practice, and about $12,882 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$16,596$12,882 to $19,498
FacilityA hospital or hospital-owned outpatient department$12,882$12,882 to $14,791

How much rates vary

Facilitymedian $12,882 · 10th to 90th $12,882 to $21,878Professionalmedian $16,596 · 10th to 90th $9,772 to $21,380
$10K$20K$50Kfacility $12,882professional $16,596

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
$12,882.50
Median
$12,882.50
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$12,882.50
Typical High
$66,069.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$19,498.45
Typical High
$21,379.62
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
$9,772.37
Median
$20,417.38
Typical High
$25,118.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$38,904.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$8,912.51
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$12,882.50
Typical High
$20,417.38

Where North Dakota 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 Dakota· 6th of 51

$16,218

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.