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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 July 2026.

Facilitymedian $2,089 · 10th–90th $1,000$10,4710%20%10th90th$2,089Professionalmedian $1,096 · 10th–90th $891$2,0890%20%40%10th90th$1,096$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,000.00
Median
$1,000.00
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,981.07
Typical High
$14,125.38
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
$954.99
Median
$954.99
Typical High
$2,344.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,511.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,737.80