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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Montana 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?

$3,162

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $3,631 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$2,884$1,585 to $3,631
FacilityA hospital or hospital-owned outpatient department$3,631$2,818 to $3,890

How much rates vary

Facilitymedian $3,631 · 10th to 90th $2,291 to $4,467Professionalmedian $2,884 · 10th to 90th $955 to $7,079
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $2,884

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
Professional
Modifier
Global
Typical Low
$954.99
Median
$2,511.89
Typical High
$16,982.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,890.45
Typical High
$3,890.45
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,630.78
Typical High
$7,079.46
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,630.78
Typical High
$7,079.46
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$4,365.16
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,884.03
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,187.76
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$2,238.72

Where Montana 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.

Montana· 7th of 51

$3,162

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.