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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Arizona 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 $1,698 · 10th–90th $589$4,1690%10%10th90th$1,698Professionalmedian $1,072 · 10th–90th $832$2,1380%20%10th90th$1,072$2.0$10.0$50.0$200.0$1.0K$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
$870.96
Median
$1,071.52
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,238.72
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$4,168.69
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
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,380.38
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,380.38