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Endoskeletal Knee, Powered Flexion/Extension Assist

South Dakota 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?

$17,378

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $17,378 for this service. The price depends on where it is billed: about $17,378 from a physician practice, and about $17,378 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 7 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$17,378$14,791 to $20,417
FacilityA hospital or hospital-owned outpatient department$17,378$14,125 to $24,547

How much rates vary

Facilitymedian $17,378 · 10th to 90th $11,749 to $47,863Professionalmedian $17,378 · 10th to 90th $13,490 to $25,119
$10K$20K$50K$100Kfacility $17,378professional $17,378

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
$12,882.50
Median
$12,882.50
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$14,791.08
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$19,498.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$25,118.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$18,620.87
Typical High
$47,863.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$12,302.69
Typical High
$89,125.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15,848.93
Median
$19,054.61
Typical High
$19,054.61
Midlands
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$31,622.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$17,782.79
Typical High
$23,442.29
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$11,748.98
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$20,417.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$17,378.01

Where South Dakota 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.

South Dakota· 3rd of 51

$17,378

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.