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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 July 2026.

Facilitymedian $1,514 · 10th–90th $1,514$2,5700%50%90th$1,514Professionalmedian $1,905 · 10th–90th $1,096$2,5120%20%10th90th$1,905$1.0K$2.0K$5.0K$10.0K

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
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$7,585.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,290.87
Typical High
$2,398.83
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
$1,318.26
Median
$2,344.23
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,698.24
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,380.38
Typical High
$2,398.83