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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Ohio 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.

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

$1,122

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $2,138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,096$1,000 to $1,445
FacilityA hospital or hospital-owned outpatient department$2,138$1,698 to $2,399

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,000 to $3,548Professionalmedian $1,096 · 10th to 90th $955 to $2,188
$1K$2K$5Kfacility $2,138professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,187.76
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$2,691.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$2,454.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,348.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,778.28
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,344.23
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,445.44

Where Ohio sits

The same service costs 3.2 times more in Kansas than in Nebraska. 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.

Ohio· 27th of 51

$1,122

KS $2,818NE $891

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.