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Prosthetic Knee, Endoskeletal Four-Bar, Friction Swing

West Virginia 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?

$955

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $955 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 4 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$1,023$955 to $1,023
FacilityA hospital or hospital-owned outpatient department$955$955 to $1,259

How much rates vary

Facilitymedian $955 · 10th to 90th $955 to $2,239Professionalmedian $1,023 · 10th to 90th $955 to $1,349
$1K$2K$5K$10Kfacility $955professional $1,023

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
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,630.27
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,621.81

Where West Virginia 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.

West Virginia· 46th of 51

$955

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.