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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Michigan 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?

$2,692

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $5,495 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$2,692$2,291 to $4,677
FacilityA hospital or hospital-owned outpatient department$5,495$2,692 to $12,589

How much rates vary

Facilitymedian $5,495 · 10th to 90th $2,692 to $19,055Professionalmedian $2,692 · 10th to 90th $2,138 to $4,677
$10.0$100.0$1.0K$10.0Kfacility $5,495professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$2,691.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$14,125.38
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,677.35
Typical High
$4,897.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$3,890.45
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$8,912.51
Typical High
$10,000.00
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,801.89
Typical High
$5,754.40
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,801.89
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$3,311.31

Where Michigan 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.

Michigan $2,692 · 23rd 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.