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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Alaska rates for HCPCS L5614

Addition to lower extremity, exoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with pneumatic swing phase control

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $589$2,0420%20%40%10th90th$1,202Professionalmedian $1,380 · 10th–90th $977$2,7540%20%10th90th$1,380$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,344.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,445.44
Typical High
$2,041.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,041.74
Typical High
$6,025.60
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,949.84
Typical High
$2,041.74
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,318.26
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,000.00
Typical High
$4,365.16