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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Iowa rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $3,890 · 10th–90th $2,630$11,2200%20%10th90th$3,890Professionalmedian $3,388 · 10th–90th $1,950$5,6230%20%10th90th$3,388$5.0$20.0$100.0$500.0$2.0K$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
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,467.37
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,818.38
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$5,248.07
Typical High
$6,456.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,786.30
Typical High
$5,754.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,754.40
Typical High
$20,892.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$7,413.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,248.07
Typical High
$6,165.95
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,570.88
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$4,466.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,466.84
Typical High
$4,466.84