go back

Endoskeletal Knee, Powered Flexion/Extension Assist

Utah 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 Utah, 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 $9,772 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$9,772$7,244 to $18,197
FacilityA hospital or hospital-owned outpatient department$9,772$6,761 to $17,783

How much rates vary

Facilitymedian $9,772 · 10th to 90th $6,761 to $17,783Professionalmedian $9,772 · 10th to 90th $6,166 to $74,131
$10K$20K$50Kfacility $9,772professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,762.47
Typical High
$74,131.02
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
$9,772.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$12,882.50
Typical High
$16,982.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$17,782.79
Typical High
$17,782.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$12,589.25
Typical High
$20,417.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$17,782.79
Typical High
$18,620.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$18,197.01
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$7,762.47
Typical High
$12,882.50

Where Utah 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.

Utah· 25th 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.