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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.

Facilitymedian $977 · 10th–90th $977$2,0890%50%90th$977Professionalmedian $1,047 · 10th–90th $977$1,3800%20%40%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
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