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Prosthetic Knee, Four-Bar or Multiaxial, Pneumatic Swing

Wisconsin rates for HCPCS L5840

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

Rates data updated July 2026.

Facilitymedian $4,786 · 10th–90th $3,890$8,7100%20%40%10th90th$4,786Professionalmedian $4,467 · 10th–90th $2,399$7,9430%20%10th90th$4,467$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
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,466.84
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$10,964.78
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$6,918.31
Typical High
$9,120.11
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,890.45
Typical High
$5,888.44
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,754.40
Typical High
$7,244.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,677.35
Typical High
$21,379.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$5,370.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$1,995.26
Network Health
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,370.32
Typical High
$9,332.54
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,890.45
Typical High
$5,888.44
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,677.35
Typical High
$4,897.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$7,244.36
Typical High
$12,302.69
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$9,772.37
Typical High
$21,877.62
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$7,079.46
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$4,365.16