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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Rhode Island 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?

$2,512

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $8,128 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,455$2,344 to $2,630
FacilityA hospital or hospital-owned outpatient department$8,128$6,457 to $9,333

How much rates vary

Facilitymedian $8,128 · 10th to 90th $5,495 to $10,233Professionalmedian $2,455 · 10th to 90th $1,738 to $3,715
$2K$5K$10Kfacility $8,128professional $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
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$8,912.51
Typical High
$10,232.93
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,388.44
United
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,691.53
Typical High
$3,715.35

Where Rhode Island 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.

Rhode Island· 37th of 51

$2,512

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.