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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

New Mexico 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?

$2,455

Typical negotiated rate. In New Mexico, July 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 $3,162 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$2,455$2,188 to $3,162
FacilityA hospital or hospital-owned outpatient department$3,162$2,291 to $4,169

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,318 to $4,898Professionalmedian $2,455 · 10th to 90th $2,188 to $6,918
$100.0$500.0$2.0K$10.0Kfacility $3,162professional $2,455

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
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$20,892.96
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
$2,454.71
Typical High
$6,918.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,168.69
Typical High
$6,309.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,162.28
Typical High
$4,897.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,162.28
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$3,090.30

Where New Mexico 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.

New Mexico $2,455 · 32nd 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.