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Prosthetic Knee, Endoskeletal Four-Bar, Hydraulic Swing

West Virginia 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?

$1,479

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $1,445 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$1,549$1,445 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,445$1,445 to $1,950

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,445 to $3,388Professionalmedian $1,549 · 10th to 90th $1,445 to $2,042
$1K$2K$5K$10Kfacility $1,445professional $1,549

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
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,584.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$4,073.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,570.88
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,949.84
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,454.71

Where West Virginia 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.

West Virginia· 46th of 51

$1,479

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.