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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 October 2026.

How much does Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing cost?

$1,288

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $1,000 to $1,380.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,072 · 10th to 90th $1,072 to $1,413Professionalmedian $1,288 · 10th to 90th $933 to $1,585
$1K$2Kfacility $1,072professional $1,288

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$436.52
Median
$524.81
Typical High
$616.60
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$173.78
Median
$213.80
Typical High
$245.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$128.82
Median
$158.49
Typical High
$186.21
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$87.10
Median
$107.15
Typical High
$123.03
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$3,981.07
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,737.80

Where Washington, DC sits

The same service costs 3.0 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 25th of 51

$1,288

KS $2,818DE $955

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.