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Endoskeletal Knee, Powered Flexion/Extension Assist

New Mexico 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?

$9,772

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $9,772 for this service. The price depends on where it is billed: about $9,772 from a physician practice, and about $11,749 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$9,772$8,318 to $13,183
FacilityA hospital or hospital-owned outpatient department$11,749$10,471 to $17,378

How much rates vary

Facilitymedian $11,749 · 10th to 90th $7,586 to $20,417Professionalmedian $9,772 · 10th to 90th $7,762 to $26,303
$500$1K$2K$5K$10K$20K$50Kfacility $11,749professional $9,772

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$9,772.37
Typical High
$74,131.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$14,125.38
Typical High
$16,218.10
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
$8,317.64
Typical High
$25,703.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$17,782.79
Typical High
$26,302.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,481.54
Typical High
$20,417.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$12,302.69
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,762.47
Typical High
$12,302.69

Where New Mexico 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 Mexico· 27th of 51

$9,772

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.