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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Kansas 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 $1,698 · 10th–90th $589$3,3110%10%20%10th90th$1,698Professionalmedian $2,818 · 10th–90th $912$2,8180%50%10th$2,818$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
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,071.52
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,235.94
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,412.54
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$14,454.40
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
$676.08
Median
$1,000.00
Typical High
$1,445.44