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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Maine 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?

$2,188

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $4,074 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$2,188$1,778 to $3,467
FacilityA hospital or hospital-owned outpatient department$4,074$2,344 to $4,677

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,905 to $5,012Professionalmedian $2,188 · 10th to 90th $1,413 to $3,467
$1K$2K$5K$10Kfacility $4,074professional $2,188

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
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$5,370.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,905.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,073.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,862.09
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,949.84
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$3,235.94
Typical High
$3,467.37

Where Maine 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.

Maine· 18th of 51

$2,188

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.