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Endoskeletal Knee, Powered Flexion/Extension Assist

Nebraska 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?

$7,762

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $7,762 for this service. The price depends on where it is billed: about $7,762 from a physician practice, and about $17,783 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$7,762$7,762 to $9,772
FacilityA hospital or hospital-owned outpatient department$17,783$12,303 to $19,498

How much rates vary

Facilitymedian $17,783 · 10th to 90th $11,220 to $81,283Professionalmedian $7,762 · 10th to 90th $6,761 to $13,183
$10K$20K$50Kfacility $17,783professional $7,762

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
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$7,762.47
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$16,982.44
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$19,498.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$20,417.38
Typical High
$36,307.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$19,054.61
Typical High
$81,283.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$14,454.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$46,773.51
Midlands
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$43,651.58
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$17,782.79
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$10,471.29
Typical High
$13,489.63

Where Nebraska 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.

Nebraska· 48th of 51

$7,762

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.