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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

South Carolina 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 $1,318 · 10th–90th $912$2,5700%20%10th90th$1,318Professionalmedian $1,023 · 10th–90th $871$2,0420%20%10th90th$1,023$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
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,630.27
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,344.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,513.56
Typical High
$3,311.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,412.54