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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Missouri 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?

$2,089

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $2,951 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$1,862$1,778 to $2,630
FacilityA hospital or hospital-owned outpatient department$2,951$2,239 to $3,631

How much rates vary

Facilitymedian $2,951 · 10th to 90th $1,622 to $6,310Professionalmedian $1,862 · 10th to 90th $1,380 to $4,266
$1K$2K$5K$10Kfacility $2,951professional $1,862

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
$1,621.81
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,398.83
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$3,630.78
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
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,818.38
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,778.28
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,951.21
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$2,630.27

Where Missouri 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.

Missouri· 19th of 51

$2,089

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.