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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Rhode Island 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?

$1,950

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $6,457 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 4 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$1,905$1,698 to $2,344
FacilityA hospital or hospital-owned outpatient department$6,457$2,291 to $8,128

How much rates vary

Facilitymedian $6,457 · 10th to 90th $2,239 to $9,120Professionalmedian $1,905 · 10th to 90th $1,698 to $2,570
$2K$5K$10K$20Kfacility $6,457professional $1,905

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,344.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$7,762.47
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,089.30
Typical High
$3,235.94

Where Rhode Island 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.

Rhode Island· 20th of 51

$1,950

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.