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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Massachusetts 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?

$1,738

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $2,512 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 9 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$1,738$977 to $1,738
FacilityA hospital or hospital-owned outpatient department$2,512$2,188 to $3,020

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,072 to $5,012Professionalmedian $1,738 · 10th to 90th $871 to $2,630
$100$200$500$1K$2K$5K$10Kfacility $2,512professional $1,738

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
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$2,754.23
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,019.95
Typical High
$9,772.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,659.59
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,344.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,630.27
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,019.95
Typical High
$9,772.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,659.59
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,412.54
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,659.59
Typical High
$1,778.28

Where Massachusetts 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.

Massachusetts· 9th of 51

$1,738

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.