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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Minnesota 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 $3,548 · 10th–90th $1,738$16,5960%20%10th90th$3,548Professionalmedian $2,042 · 10th–90th $1,413$2,3440%50%10th90th$2,042$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$776.25
Median
$1,513.56
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,762.47
Typical High
$20,892.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,691.53
Typical High
$3,019.95
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$8,511.38
Typical High
$16,595.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,041.74
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$1,202.26
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,202.26
Typical High
$2,818.38