go back

Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Oklahoma 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 $1,096 · 10th–90th $871$2,4550%20%10th90th$1,096Professionalmedian $1,000 · 10th–90th $759$1,3800%20%10th90th$1,000$500.0$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
$870.96
Median
$870.96
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,096.48
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
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,023.29
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,659.59
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$1,380.38