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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Pennsylvania 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?

$1,445

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $4,074 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$1,445$1,349 to $1,905
FacilityA hospital or hospital-owned outpatient department$4,074$1,413 to $6,166

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,318 to $9,550Professionalmedian $1,445 · 10th to 90th $1,202 to $2,630
$1K$2K$5K$10K$20K$50Kfacility $4,074professional $1,445

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
$1,318.26
Median
$1,318.26
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,630.27
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$3,019.95
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
$1,905.46
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$5,754.40
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,089.30
Typical High
$3,019.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$5,128.61
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$2,454.71
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,079.46
Typical High
$11,481.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$3,019.95

Where Pennsylvania 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.

Pennsylvania· 48th of 51

$1,445

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.