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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Florida rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Rates data updated October 2026.

How much does Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing cost?

$2,455

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $7,943 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,239$2,089 to $2,570
FacilityA hospital or hospital-owned outpatient department$7,943$3,388 to $7,943

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,388 to $7,943Professionalmedian $2,239 · 10th to 90th $1,820 to $4,266
$2K$5Kfacility $7,943professional $2,239

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$1,819.70
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,949.84
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$891.25
Median
$977.24
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$363.08
Median
$389.05
Typical High
$489.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$269.15
Median
$288.40
Typical High
$363.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$177.83
Median
$194.98
Typical High
$245.47
AvMed
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
AvMed
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,388.44
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$4,265.80
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,089.30
Typical High
$3,090.30
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$4,265.80

Where Florida sits

The same service costs 2.1 times more in Montana than in South Carolina. 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.

Florida· 46th of 51

$2,455

MT $4,898SC $2,344

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.