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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Virginia rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Rates data updated July 2026.

Facilitymedian $4,467 · 10th–90th $2,344$5,4950%20%40%10th90th$4,467Professionalmedian $2,455 · 10th–90th $1,995$4,1690%20%40%10th90th$2,455$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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
$1,819.70
Median
$2,344.23
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,786.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$5,248.07
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
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
$2,754.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,466.84
Typical High
$6,309.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,951.21
Typical High
$4,365.16
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$5,248.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,398.83
Typical High
$2,951.21
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,019.95
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,187.76
Typical High
$3,467.37