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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 October 2026.

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

$4,786

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $3,311 to $5,012.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,512 to $3,715Professionalmedian $4,786 · 10th to 90th $2,951 to $5,248
$5Kfacility $3,715professional $4,786

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
HMSA
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,011.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$4,786.30
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$5,248.07
Typical High
$5,248.07
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21

Where Hawaii sits

The same service costs 2.6 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 $1,820

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.