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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

North Dakota 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?

$1,950

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $1,514 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$1,514 to $2,291
FacilityA hospital or hospital-owned outpatient department$1,514$1,514 to $1,698

How much rates vary

Facilitymedian $1,514 · 10th to 90th $1,318 to $3,715Professionalmedian $1,950 · 10th to 90th $912 to $2,344
$1K$2K$5K$10Kfacility $1,514professional $1,950

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$1,698.24
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$2,344.23
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$2,344.23
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,513.56
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,380.38
Typical High
$1,659.59
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,380.38
Typical High
$1,659.59

Where North Dakota 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.

North Dakota· 11th of 51

$1,950

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.