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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

New York 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?

$1,778

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $1,862 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 9 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$1,778$1,479 to $2,570
FacilityA hospital or hospital-owned outpatient department$1,862$1,549 to $3,090

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,288 to $4,571Professionalmedian $1,778 · 10th to 90th $1,288 to $4,467
$1K$2K$5K$10K$20K$50Kfacility $1,862professional $1,778

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
$1,445.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,187.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$6,025.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$5,128.61
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,454.71
Typical High
$2,454.71
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,949.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,897.79
Typical High
$11,481.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,162.28
Typical High
$5,754.40
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,621.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$1,862.09
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,884.03
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,187.76
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$4,897.79
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$1,819.70
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$1,862.09

Where New York 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 York· 28th of 51

$1,778

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.