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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Utah 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?

$2,692

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $2,399 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 7 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$2,818$1,862 to $4,786
FacilityA hospital or hospital-owned outpatient department$2,399$1,318 to $4,677

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,318 to $4,677Professionalmedian $2,818 · 10th to 90th $1,318 to $20,893
$50.0$200.0$1.0K$5.0K$20.0Kfacility $2,399professional $2,818

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
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
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
$3,388.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$3,388.44
Typical High
$4,466.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,677.35
Typical High
$4,677.35
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,311.31
Typical High
$5,495.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,677.35
Typical High
$4,897.79
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,691.53
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,162.28

Where Utah 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.

Utah $2,692 · 21st 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.