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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Maryland 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 $1,380 · 10th–90th $813$2,0420%20%40%10th90th$1,380Professionalmedian $1,072 · 10th–90th $871$1,5140%20%40%10th90th$1,072$1.0K$2.0K$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
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
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
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,041.74
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,380.38
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,584.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,737.80