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Endoskeletal Knee, Powered Flexion/Extension Assist

New Jersey 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?

$8,511

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $8,511 for this service. The price depends on where it is billed: about $8,511 from a physician practice, and about $6,457 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$8,511$7,586 to $13,490
FacilityA hospital or hospital-owned outpatient department$6,457$6,457 to $12,303

How much rates vary

Facilitymedian $6,457 · 10th to 90th $6,457 to $17,378Professionalmedian $8,511 · 10th to 90th $6,761 to $16,982
$10K$20K$50Kfacility $6,457professional $8,511

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
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$7,943.28
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$9,772.37
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$9,772.37
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$16,595.87
Typical High
$22,908.68
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$17,378.01
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$10,471.29
Typical High
$16,982.44

Where New Jersey 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.

New Jersey· 40th of 51

$8,511

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.