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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Iowa 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 $1,778 · 10th–90th $1,259$5,1290%10%20%10th90th$1,778Professionalmedian $1,514 · 10th–90th $891$2,3440%20%10th90th$1,514$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
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,344.23
Typical High
$2,951.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,041.74
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,630.27
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$2,818.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$2,041.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$2,041.74