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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Washington, DC 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 $1,072 · 10th–90th $1,072$2,9510%50%90th$1,072Professionalmedian $1,072 · 10th–90th $933$1,2880%20%40%10th90th$1,072$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$1,071.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
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
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$1,548.82