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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Washington 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 $1,995 · 10th–90th $1,288$4,7860%10%20%10th90th$1,995Professionalmedian $1,660 · 10th–90th $955$3,5480%20%10th90th$1,660$20.0$100.0$500.0$2.0K$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
$1,288.25
Median
$1,288.25
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$8,709.64
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,949.84
Typical High
$1,995.26
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,691.53
Typical High
$5,623.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,344.23
Typical High
$4,168.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$1,380.38
Typical High
$1,659.59
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$1,995.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,884.03
Typical High
$3,981.07
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,949.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$1,737.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,737.80
Typical High
$3,019.95