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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

New Jersey 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 $724 · 10th–90th $724$2,0420%50%90th$724Professionalmedian $1,000 · 10th–90th $776$1,9950%10%10th90th$1,000$1.0K$2.0K$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
$724.44
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,318.26
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,630.27
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,995.26