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Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing

Montana 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?

$1,995

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $2,512 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 6 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$1,995$1,023 to $2,512
FacilityA hospital or hospital-owned outpatient department$2,512$1,995 to $2,692

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,585 to $3,162Professionalmedian $1,995 · 10th to 90th $617 to $4,898
$100$200$500$1K$2K$5K$10Kfacility $2,512professional $1,995

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
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,621.81
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,691.53
Typical High
$2,691.53
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,511.89
Typical High
$4,897.79
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,511.89
Typical High
$4,897.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,238.72
Typical High
$2,754.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,041.74
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$954.99
Typical High
$1,479.11

Where Montana 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.

Montana· 6th of 51

$1,995

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.