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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,512 from a physician practice, and about $4,898 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 8 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$2,512$2,291 to $3,311
FacilityA hospital or hospital-owned outpatient department$4,898$3,890 to $5,495

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,291 to $8,128Professionalmedian $2,512 · 10th to 90th $2,138 to $5,012
$10.0$100.0$1.0K$10.0Kfacility $4,898professional $2,512

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
$2,290.87
Median
$2,290.87
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,011.87
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$6,165.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,548.13
Typical High
$5,011.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,801.89
Typical High
$5,623.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,715.35
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,548.13
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$4,073.80
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,370.32
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,801.89
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,344.23
Typical High
$3,235.94

Where Ohio 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.

Ohio $2,570 · 24th 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.