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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $1,995 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 5 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$1,660$1,096 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,995$1,585 to $2,138

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,318 to $2,512Professionalmedian $1,660 · 10th to 90th $589 to $3,890
$100$200$500$1K$2K$5Kfacility $1,995professional $1,660

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
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,659.59
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,137.96
Typical High
$2,137.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,995.26
Typical High
$3,890.45
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,995.26
Typical High
$3,890.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,905.46
Typical High
$2,951.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,621.81
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$1,412.54

Where Montana 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.

Montana· 8th 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.