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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

West Virginia 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.

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

$1,000

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $977 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$977 to $1,072
FacilityA hospital or hospital-owned outpatient department$977$977 to $1,202

How much rates vary

Facilitymedian $977 · 10th to 90th $977 to $2,089Professionalmedian $1,047 · 10th to 90th $977 to $1,380
$1K$2K$5K$10Kfacility $977professional $1,047

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,754.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$1,659.59

Where West Virginia sits

The same service costs 3.2 times more in Kansas than in Nebraska. 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.

West Virginia· 43rd of 51

$1,000

KS $2,818NE $891

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.