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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Montana 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?

$3,981

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $4,571 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 5 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$3,631$2,512 to $4,571
FacilityA hospital or hospital-owned outpatient department$4,571$3,631 to $4,898

How much rates vary

Facilitymedian $4,571 · 10th to 90th $3,162 to $5,754Professionalmedian $3,631 · 10th to 90th $1,318 to $8,913
$100$500$2K$10Kfacility $4,571professional $3,631

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
$1,318.26
Median
$3,548.13
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,897.79
Typical High
$4,897.79
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$8,912.51
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$8,912.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,365.16
Typical High
$6,025.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,715.35
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,090.30
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$3,162.28

Where Montana sits

The same service costs 2.6 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 9th of 51

$3,981

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.