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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Vermont 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?

$2,512

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $2,512 for this service. Most negotiated rates run $2,188 to $2,692.

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.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $2,399 to $3,388Professionalmedian $2,455 · 10th to 90th $2,188 to $3,311
$2K$5K$10Kfacility $3,236professional $2,455

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. 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
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$8,912.51

Where Vermont 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.

Vermont· 28th of 51

$2,512

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.