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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Iowa rates for HCPCS L5840

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

Rates data updated July 2026.

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

$3,388

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $3,981 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$3,162$2,344 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,981$3,388 to $6,457

How much rates vary

Facilitymedian $3,981 · 10th to 90th $2,818 to $11,482Professionalmedian $3,162 · 10th to 90th $1,820 to $5,495
$10.0$100.0$1.0K$10.0Kfacility $3,981professional $3,162

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
$2,454.71
Median
$3,890.45
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,162.28
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,495.41
Typical High
$6,760.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,897.79
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$6,309.57
Typical High
$21,379.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,162.28
Typical High
$8,317.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,754.40
Typical High
$6,456.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$8,317.64
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,011.87
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,691.53
Typical High
$4,677.35
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,897.79
Typical High
$4,897.79

Where Iowa sits

The same service costs 2.6 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $3,388 · 14th of 51
HI $4,786NE $1,862

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.