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Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing

Ohio 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?

$1,148

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $2,042 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 9 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$1,072$955 to $1,445
FacilityA hospital or hospital-owned outpatient department$2,042$1,585 to $2,291

How much rates vary

Facilitymedian $2,042 · 10th to 90th $977 to $3,311Professionalmedian $1,072 · 10th to 90th $891 to $2,089
$1K$2K$5Kfacility $2,042professional $1,072

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
$954.99
Median
$954.99
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$954.99
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,089.30
Typical High
$4,265.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$2,570.40
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$2,344.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,348.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,288.25
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,698.24
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,187.76
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,479.11

Where Ohio 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.

Ohio· 34th of 51

$1,148

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.