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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Tennessee 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 $1,549 · 10th–90th $871$9,7720%20%10th90th$1,549Professionalmedian $977 · 10th–90th $871$1,7380%50%10th90th$977$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
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$891.25
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,380.38