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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 October 2026.

How much does Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing cost?

$1,000

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,318 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$1,000$871 to $2,042
FacilityA hospital or hospital-owned outpatient department$1,318$1,000 to $1,318

How much rates vary

Facilitymedian $1,318 · 10th to 90th $776 to $2,042Professionalmedian $1,000 · 10th to 90th $724 to $2,042
$1K$2Kfacility $1,318professional $1,000

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
$724.44
Median
$724.44
Typical High
$776.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$891.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$363.08
Median
$363.08
Typical High
$446.68
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$144.54
Median
$144.54
Typical High
$177.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$109.65
Median
$109.65
Typical High
$131.83
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$72.44
Median
$72.44
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$2,630.27
Typical High
$2,630.27
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$2,454.71
United
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,949.84

Where New Jersey 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.

New Jersey· 49th of 51

$1,000

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.