go back

Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Kentucky 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?

$1,023

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,318 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 6 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$1,023$977 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,318$977 to $2,188

How much rates vary

Facilitymedian $1,318 · 10th to 90th $977 to $2,818Professionalmedian $1,023 · 10th to 90th $891 to $1,380
$1K$2K$5Kfacility $1,318professional $1,023

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
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$1,122.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,754.23
Typical High
$3,548.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,570.40
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,621.81
Typical High
$10,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,380.38
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,202.26
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,412.54

Where Kentucky 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.

Kentucky· 41st of 51

$1,023

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.