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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Maine 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?

$3,020

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $4,677 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 6 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$2,692$2,455 to $3,890
FacilityA hospital or hospital-owned outpatient department$4,677$3,388 to $5,248

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,090 to $5,623Professionalmedian $2,692 · 10th to 90th $1,950 to $3,890
$2.0K$5.0K$10.0K$20.0Kfacility $4,677professional $2,692

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
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$3,019.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,248.07
Typical High
$6,025.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,388.44
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,388.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,677.35
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,454.71
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,691.53
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,801.89
Typical High
$3,890.45

Where Maine 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.

Maine $3,020 · 18th 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.