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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Indiana 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 $977$2,5700%20%40%10th90th$2,089Professionalmedian $1,023 · 10th–90th $891$1,6220%20%40%10th90th$1,023$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
$977.24
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,089.30
Typical High
$2,570.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$1,995.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,691.53
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,023.29
Typical High
$1,445.44