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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $1,905 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 7 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$2,042$1,318 to $3,548
FacilityA hospital or hospital-owned outpatient department$1,905$955 to $3,715

How much rates vary

Facilitymedian $1,905 · 10th to 90th $955 to $3,715Professionalmedian $2,042 · 10th to 90th $955 to $16,982
$1K$2K$5K$10Kfacility $1,905professional $2,042

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
$954.99
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,949.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,691.53
Typical High
$3,467.37
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,715.35
Typical High
$3,715.35
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$3,311.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$3,801.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,949.84
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,238.72

Where Utah 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.

Utah· 22nd 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.