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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Oregon 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 $1,950 · 10th–90th $1,479$2,0420%20%40%10th90th$1,950Professionalmedian $1,479 · 10th–90th $891$2,2390%10%20%10th90th$1,479$2.0$10.0$50.0$200.0$1.0K$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
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,698.24
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
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$4,073.80
Typical High
$4,897.79
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$2,089.30
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$2,238.72
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,659.59
Typical High
$2,238.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,737.80
Typical High
$2,089.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$7,762.47
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1,230.27
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,737.80