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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

Vermont 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?

$1,905

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $1,905 for this service. Most negotiated rates run $1,862 to $2,188.

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.

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,778 to $2,344Professionalmedian $1,905 · 10th to 90th $1,820 to $2,344
$1K$2K$5K$10Kfacility $1,950professional $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
$1,862.09
Median
$1,905.46
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,905.46
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,949.84
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$7,943.28

Where Vermont 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.

Vermont· 24th of 51

$1,905

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.