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Endoskeletal Knee, Powered Flexion/Extension Assist

Pennsylvania 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 Pennsylvania, 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 $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 8 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$7,943 to $11,482
FacilityA hospital or hospital-owned outpatient department$12,303$7,586 to $29,512

How much rates vary

Facilitymedian $12,303 · 10th to 90th $7,586 to $29,512Professionalmedian $8,511 · 10th to 90th $7,413 to $16,982
$10K$20K$50Kfacility $12,303professional $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
$7,585.78
Median
$7,585.78
Typical High
$29,512.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,317.64
Typical High
$13,182.57
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$16,982.44
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
$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
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$22,908.68
Typical High
$33,113.11
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$17,378.01
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$12,302.69
Typical High
$17,378.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$29,512.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,317.64
Typical High
$13,803.84
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$34,673.69
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$21,379.62
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$9,772.37
Typical High
$17,782.79

Where Pennsylvania 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.

Pennsylvania· 39th 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.