go back

Prosthetic Knee, Polycentric, Hydraulic Swing Control

Alaska rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Rates data updated July 2026.

Facilitymedian $2,399 · 10th–90th $1,288$4,4670%20%40%10th90th$2,399Professionalmedian $3,020 · 10th–90th $2,138$6,0260%10%20%10th90th$3,020$100.0$200.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$5,248.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,162.28
Typical High
$4,466.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,466.84
Typical High
$13,489.63
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,365.16
Typical High
$4,466.84
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$4,466.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$4,466.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,511.89
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,187.76
Typical High
$9,772.37