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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Idaho 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?

$3,802

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $4,467 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 8 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$3,467$2,455 to $4,677
FacilityA hospital or hospital-owned outpatient department$4,467$3,388 to $4,786

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,512 to $6,026Professionalmedian $3,467 · 10th to 90th $2,042 to $5,495
$10.0$100.0$1.0K$10.0Kfacility $4,467professional $3,467

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
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,162.28
Typical High
$4,073.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,570.88
Typical High
$7,762.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,388.44
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,388.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,073.80
Typical High
$5,011.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,677.35
Typical High
$4,897.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$4,168.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,677.35
Typical High
$4,677.35
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$5,495.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,897.79
Typical High
$7,413.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,677.35
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3,090.30
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$3,162.28

Where Idaho 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.

Idaho $3,802 · 12th 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.