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Endoskeletal Knee, Powered Flexion/Extension Assist

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $8,710 to $10,715.

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.

How much rates vary

Facilitymedian $10,471 · 10th to 90th $9,772 to $12,303Professionalmedian $10,000 · 10th to 90th $8,710 to $11,482
$10K$20Kfacility $10,471professional $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
$8,709.64
Median
$8,709.64
Typical High
$10,715.19
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$11,748.98
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$12,882.50
Typical High
$34,673.69

Where Vermont 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.

Vermont· 24th 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.