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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

New Jersey rates for HCPCS L5840

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

Rates data updated October 2026.

How much does Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing cost?

$2,455

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $3,388 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,455$1,862 to $4,365
FacilityA hospital or hospital-owned outpatient department$3,388$2,399 to $3,388

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,660 to $4,365Professionalmedian $2,455 · 10th to 90th $1,549 to $4,365
$2K$5Kfacility $3,388professional $2,455

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$776.25
Median
$776.25
Typical High
$977.24
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$316.23
Median
$316.23
Typical High
$389.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$234.42
Median
$234.42
Typical High
$295.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$154.88
Median
$154.88
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,388.44
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$5,623.41
Typical High
$5,623.41
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$4,265.80

Where New Jersey sits

The same service costs 2.1 times more in Montana than in South Carolina. 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.

New Jersey· 47th of 51

$2,455

MT $4,898SC $2,344

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.