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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Illinois 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?

$1,230

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $2,818 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,096$1,000 to $1,905
FacilityA hospital or hospital-owned outpatient department$2,818$2,399 to $5,129

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,318 to $11,749Professionalmedian $1,096 · 10th to 90th $933 to $2,344
$1K$2K$5K$10K$20Kfacility $2,818professional $1,096

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$501.19
Median
$501.19
Typical High
$831.76
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$199.53
Median
$199.53
Typical High
$331.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$151.36
Median
$151.36
Typical High
$251.19
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$100.00
Median
$100.00
Typical High
$165.96
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,570.40
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,023.29
Typical High
$2,398.83

Where Illinois 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.

Illinois· 29th of 51

$1,230

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.