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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Iowa rates for HCPCS L5613

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

Rates data updated July 2026.

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

$2,455

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $2,818 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$2,291$1,479 to $2,818
FacilityA hospital or hospital-owned outpatient department$2,818$2,455 to $4,677

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,905 to $8,318Professionalmedian $2,291 · 10th to 90th $1,318 to $4,169
$1K$2K$5K$10Kfacility $2,818professional $2,291

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
$1,737.80
Median
$2,691.53
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,290.87
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,388.44
Typical High
$4,265.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,548.13
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,466.84
Typical High
$15,488.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,168.69
Typical High
$4,677.35
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$6,025.60
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,454.71
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,949.84
Typical High
$3,311.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,548.13
Typical High
$3,548.13

Where Iowa sits

The same service costs 3.5 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.

Iowa· 13th of 51

$2,455

HI $4,571NE $1,318

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.