HCPCS L5614
Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control
Current code24 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,988 – $2,186 | — | — |
| Deaconess Medical Center | $1,988 – $2,186 | — | — |
| Harborview Medical Center | $2,028 – $2,231 | $2,484 | $3,549 |
| Kadlec Regional Medical Center | $2,028 – $2,434 | — | — |
| Mary Bridge Children's Hospital | $1,988 – $2,186 | — | — |
| MultiCare Auburn Medical Center | $1,988 – $2,186 | — | — |
| MultiCare Covington Medical Center | $1,988 – $2,186 | — | — |
| MultiCare Good Samaritan Hospital | $1,988 – $2,186 | — | — |
| MultiCare Valley Hospital | $2,047 – $2,186 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,028 – $2,109 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,028 – $2,434 | — | — |
| Providence Centralia Hospital | $2,028 – $3,245 | — | — |
| Providence Regional Medical Center Everett | $2,028 – $2,231 | — | — |
| Providence St Peter Hospital | $2,028 – $3,245 | — | — |
| Seattle Children's Hospital | — | $15,310 | $15,310 |
| Swedish Edmonds Hospital | $2,028 – $2,434 | — | — |
| Swedish Issaquah | $2,028 – $2,434 | — | — |
| Swedish Medical Center | $2,028 – $2,434 | — | — |
| Swedish Medical Center / Cherry Hill | $2,028 – $2,434 | — | — |
| Tacoma General Allenmore Hospital | $1,988 – $2,186 | — | — |
| University of Washington Medical Ctr | $2,028 – $2,231 | $3,137 | $4,481 |
| Virginia Mason Medical Center | $1,392 – $2,088 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,988 – $2,226 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $2,028 (fee)