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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

North Carolina 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 $912$3,4670%20%10th90th$1,585Professionalmedian $1,514 · 10th–90th $891$1,5850%20%40%10th90th$1,514$2.0$10.0$50.0$200.0$1.0K$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
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,513.56
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,019.95
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,344.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,318.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,659.59
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,445.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$15,135.61
Typical High
$15,135.61