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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Michigan 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?

$1,175

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,455 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 7 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$1,175$1,047 to $2,042
FacilityA hospital or hospital-owned outpatient department$2,455$1,202 to $5,370

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,175 to $8,318Professionalmedian $1,175 · 10th to 90th $977 to $2,042
$100$1K$10Kfacility $2,455professional $1,175

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
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,165.95
Typical High
$11,748.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$2,137.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$2,041.74
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,890.45
Typical High
$4,365.16
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,621.81
Typical High
$2,511.89
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,445.44

Where Michigan 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.

Michigan· 24th of 51

$1,175

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.