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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Mississippi 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 $1,585 · 10th–90th $1,318$2,4550%20%40%10th90th$1,585Professionalmedian $1,122 · 10th–90th $891$2,0420%20%10th90th$1,122$50.0$100.0$200.0$500.0$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
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
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
$954.99
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,412.54