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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Rhode Island 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 October 2026.

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

$1,122

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $3,715 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$1,000 to $1,175
FacilityA hospital or hospital-owned outpatient department$3,715$2,884 to $4,169

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,455 to $4,571Professionalmedian $1,047 · 10th to 90th $776 to $1,660
$1K$2K$5Kfacility $3,715professional $1,047

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$575.44
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$173.78
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$114.82
Median
$117.49
Typical High
$117.49
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$3,981.07
Typical High
$4,570.88
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
United
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,659.59

Where Rhode Island sits

The same service costs 3.0 times more in Kansas than in Delaware. 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.

Rhode Island· 37th of 51

$1,122

KS $2,818DE $955

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.