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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

New Jersey 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?

$1,479

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $1,096 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 5 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$1,479$1,288 to $2,630
FacilityA hospital or hospital-owned outpatient department$1,096$1,072 to $2,188

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,072 to $3,020Professionalmedian $1,479 · 10th to 90th $1,148 to $2,951
$1K$2K$5K$10Kfacility $1,096professional $1,479

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
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,380.38
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,905.46
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$3,890.45
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$2,951.21

Where New Jersey 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.

New Jersey· 45th of 51

$1,479

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.