go back

Prosthetic Knee, Polycentric, Hydraulic Swing Control

Illinois rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $2,239$22,9090%20%10th90th$4,571Professionalmedian $3,020 · 10th–90th $2,042$4,5710%20%10th90th$3,020$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$2,238.72
Median
$2,238.72
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,238.72
Typical High
$4,570.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$8,709.64
Typical High
$30,902.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
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
$1,819.70
Median
$1,819.70
Typical High
$4,897.79
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$6,456.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,630.78
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$3,801.89