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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 July 2026.

Facilitymedian $3,311 · 10th–90th $1,413$4,5710%10%20%10th90th$3,311Professionalmedian $1,047 · 10th–90th $871$1,3800%20%10th90th$1,047$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,981.07
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,659.59