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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.

Facilitymedian $4,571 · 10th–90th $3,162$5,7540%20%40%10th90th$4,571Professionalmedian $3,631 · 10th–90th $1,318$8,9130%10%10th90th$3,631$100.0$500.0$2.0K$10.0K

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
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