They are both essentially the same. If you buy a 4" lift that uses 4" knuckles then in order to go higher than 4" you have to crank. This goes for the advertised 4" lift or the one that advertises 6" but only uses 4" knuckles.
That being said, and I'll use the Cognito 4-6" kit as a reference.
Cognito advertises this lift as 4-6" using 4" knuckles, so if you install the kit and leave it at 4" your CV's will be level and your ride will be good.
However, if you decide that you'd like to be closer to 6" then you have to crank the T-bars which will increase the angle of your CV's and UBJ's which will make your ride a little more harsh. The way Cognito gets around this is they recommend you use their UCA's to compensate for the increased height. The added UCA's, which are slightly longer than the OEM UCA's will correct the lousy UBJ angle and make the ride better, although not as good as it would be sitting at 4".
The caveat to this is, should you decide one day you no longer like the 6" of lift because the Kids/Wife/Girlfriend, whatever has a heck of a time getting in your truck you then decide that you want to drop the lift back down to 4", you may have to remove the aftermarket UCA's because if they keep the UBJ shafts straight at 6" of lift they may not keep them straight at 4" which is mentioned in the above thread.
What ever lift you buy and if you keep it at the same height as the added knuckle length then there is no need to buy aftermarket UCA's because essentially your suspension geometry will stay the same as OEM.
Also, what a lot of people might not think about is if you buy a whatever height lift you have to add a few inches more to your truck height because anyone who buys a lift is surely going to buy taller tires.