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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

New York 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?

$2,570

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $3,236 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 9 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$2,570$2,291 to $3,162
FacilityA hospital or hospital-owned outpatient department$3,236$2,570 to $4,467

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,862 to $6,457Professionalmedian $2,570 · 10th to 90th $1,820 to $6,026
$2K$5K$10K$20K$50Kfacility $3,236professional $2,570

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
$1,548.82
Median
$2,137.96
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,137.96
Typical High
$3,162.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$8,709.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,570.40
Typical High
$6,760.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,548.13
Typical High
$3,548.13
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,388.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,244.36
Typical High
$16,595.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,570.88
Typical High
$8,317.64
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,388.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,691.53
Typical High
$3,235.94
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$4,168.69
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,090.30
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,818.38
Typical High
$7,244.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,630.27
Typical High
$3,388.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,691.53
Typical High
$3,235.94

Where New York 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.

New York· 25th of 51

$2,570

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.