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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Hawaii rates for HCPCS L5814

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

Rates data updated July 2026.

How much does Prosthetic Knee, Polycentric, Hydraulic Swing Control cost?

$4,786

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $2,884 to $4,786.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $2,512 to $3,715Professionalmedian $4,786 · 10th to 90th $1,622 to $5,012
$2K$5Kfacility $2,692professional $4,786

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
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$5,888.44
HMSA
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,011.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,786.30
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$5,888.44

Where Hawaii sits

The same service costs 2.5 times more in Hawaii than in Delaware. 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.

Hawaii· 1st of 51

$4,786

HI $4,786DE $1,950

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.