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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 October 2026.

How much does Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing cost?

$2,138

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $2,138 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,950$912 to $2,138
FacilityA hospital or hospital-owned outpatient department$2,138$2,089 to $120,226

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,413 to $123,027Professionalmedian $1,950 · 10th to 90th $79 to $2,291
$100$1K$10K$100Kfacility $2,138professional $1,950

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,659.59
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$2,137.96
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$123,026.88
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,290.87
Typical High
$128,824.96
Providence
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,137.96
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,621.81
Typical High
$2,137.96
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$912.01
Typical High
$1,513.56

Where Montana sits

The same service costs 3.0 times more in Kansas than in Delaware. 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· 3rd of 51

$2,138

KS $2,818DE $955

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.