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Endoskeletal Knee, Powered Flexion/Extension Assist

Rhode Island 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?

$10,000

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $10,000 for this service. The price depends on where it is billed: about $10,000 from a physician practice, and about $30,903 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 4 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$10,000$8,318 to $10,965
FacilityA hospital or hospital-owned outpatient department$30,903$21,380 to $36,308

How much rates vary

Facilitymedian $30,903 · 10th to 90th $10,471 to $39,811Professionalmedian $10,000 · 10th to 90th $7,413 to $15,136
$10K$20K$50K$100Kfacility $30,903professional $10,000

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
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,317.64
Typical High
$10,471.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$33,884.42
Typical High
$39,810.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$15,135.61
Typical High
$15,135.61
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
$8,317.64
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
$7,943.28
Median
$10,715.19
Typical High
$14,125.38

Where Rhode Island 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.

Rhode Island· 23rd of 51

$10,000

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.