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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Pennsylvania 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?

$977

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $3,467 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 9 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$977$891 to $1,288
FacilityA hospital or hospital-owned outpatient department$3,467$933 to $8,710

How much rates vary

Facilitymedian $3,467 · 10th to 90th $891 to $13,490Professionalmedian $977 · 10th to 90th $813 to $1,698
$1K$2K$5K$10K$20K$50Kfacility $3,467professional $977

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
$891.25
Median
$891.25
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,513.56
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,621.81
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,630.27
Typical High
$3,890.45
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$2,041.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$3,467.37
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$1,621.81
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$9,772.37
Typical High
$15,848.93
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$2,089.30

Where Pennsylvania 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.

Pennsylvania· 47th of 51

$977

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.