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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

New Mexico 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 $1,413 · 10th–90th $589$2,0890%10%20%10th90th$1,413Professionalmedian $1,122 · 10th–90th $891$3,0900%20%10th90th$1,122$100.0$200.0$500.0$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
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$8,709.64
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
$954.99
Median
$954.99
Typical High
$3,019.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$3,090.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,479.11
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$1,380.38