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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Ohio 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?

$1,738

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $3,162 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 8 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$1,622$1,445 to $2,188
FacilityA hospital or hospital-owned outpatient department$3,162$2,455 to $3,467

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,514 to $5,129Professionalmedian $1,622 · 10th to 90th $1,380 to $3,236
$1K$2K$5K$10Kfacility $3,162professional $1,622

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
$1,445.44
Median
$1,445.44
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$2,454.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,162.28
Typical High
$6,456.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$3,890.45
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,570.40
Typical High
$3,630.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,041.74
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,995.26
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$2,570.40
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,388.44
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,398.83
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$2,238.72

Where Ohio 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.

Ohio· 34th of 51

$1,738

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.