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Endoskeletal Knee, Powered Flexion/Extension Assist

New York 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?

$8,710

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $8,710 for this service. The price depends on where it is billed: about $8,710 from a physician practice, and about $12,303 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 9 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$8,710$5,623 to $12,303
FacilityA hospital or hospital-owned outpatient department$12,303$8,318 to $19,498

How much rates vary

Facilitymedian $12,303 · 10th to 90th $7,413 to $31,623Professionalmedian $8,710 · 10th to 90th $5,623 to $22,909
$5K$10K$20K$50Kfacility $12,303professional $8,710

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
$8,317.64
Typical High
$19,498.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,511.38
Typical High
$11,748.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$34,673.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$23,442.29
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$14,125.38
Typical High
$14,125.38
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$9,772.37
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$28,840.32
Typical High
$67,608.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$18,197.01
Typical High
$33,113.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,748.98
Typical High
$12,302.69
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$16,595.87
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$12,302.69
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$11,481.54
Typical High
$28,840.32
Univera
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$11,481.54
Typical High
$11,481.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,481.54
Typical High
$11,748.98

Where New York 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 York· 36th of 51

$8,710

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.