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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Idaho 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.

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

$1,622

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $1,905 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,514$1,096 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,905$1,445 to $2,042

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,096 to $2,754Professionalmedian $1,514 · 10th to 90th $912 to $2,239
$1K$2K$5Kfacility $1,905professional $1,514

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,905.46
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,659.59
Typical High
$2,187.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,905.46
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,698.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,949.84
Typical High
$1,949.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,238.72
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,089.30
Typical High
$3,090.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1,380.38
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$1,412.54

Where Idaho sits

The same service costs 3.2 times more in Kansas than in Nebraska. 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.

Idaho· 12th of 51

$1,622

KS $2,818NE $891

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.