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Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing

Utah 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.

Facilitymedian $1,202 · 10th–90th $617$2,5700%20%40%10th90th$1,202Professionalmedian $1,349 · 10th–90th $617$10,2330%10%10th90th$1,349$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$10,232.93
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
$891.25
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,862.09
Typical High
$2,454.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,570.40
Typical High
$2,570.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,398.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,511.89
Typical High
$2,630.27
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,288.25
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,479.11