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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Massachusetts rates for HCPCS L5840

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

Rates data updated July 2026.

Facilitymedian $5,495 · 10th–90th $1,950$7,7620%20%10th90th$5,495Professionalmedian $3,890 · 10th–90th $1,950$5,8880%20%40%10th90th$3,890$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$6,165.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,570.88
Typical High
$23,442.29
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$5,370.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,754.40
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,235.94
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,548.13
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,888.44
Health New England
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,570.88
Typical High
$23,442.29
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,715.35
Typical High
$3,981.07