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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Nebraska 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 $2,089 · 10th–90th $1,202$7,7620%20%10th90th$2,089Professionalmedian $891 · 10th–90th $776$1,5140%20%40%10th90th$891$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
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,949.84
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,344.23
Typical High
$4,265.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,238.72
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,202.26
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$5,495.41
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,011.87
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,202.26
Typical High
$1,584.89