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See a sample rate comparisonHCPCS L5614 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Endoskeletal Prosthetic Additions, Lower Extremities |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L5614 |
National average reimbursement for HCPCS L5614 by major payers:
$1,731.87
$1,100.00
$1,204.22
$2,430.45
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HCPCS L5614
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$3,457.92Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$1,021.80Published rateQuest Diagnostics LLC Il
$993.77Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$927.78Published rateKristina Jimenez
Miguel A Arenas Md PC
$605.26Published rate
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See a sample payer proposalHCPCS L5614 vs. Other Endoskeletal Prosthetic Additions, Lower Extremities Codes
The HCPCS L5614 code is part of the Prosthetic Procedures services used for Endoskeletal Prosthetic Additions, Lower Extremities. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L5614 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L5613-HCPCS | High | Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control |
| L5614-HCPCS | High | Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control |
| L5616-HCPCS | High | Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5614. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5614 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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