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Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing

Michigan rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Rates data updated July 2026.

How much does Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing cost?

$1,202

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,630 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$1,175$1,023 to $1,950
FacilityA hospital or hospital-owned outpatient department$2,630$1,230 to $5,129

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,096 to $7,762Professionalmedian $1,175 · 10th to 90th $912 to $1,950
$100$1K$10Kfacility $2,630professional $1,175

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
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,888.44
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$2,041.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$2,398.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,715.35
Typical High
$4,073.80
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$2,344.23
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,621.81
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,479.11

Where Michigan sits

The same service costs 3.2 times more in Hawaii than in Nebraska. 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.

Michigan· 27th of 51

$1,202

HI $2,754NE $851

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.