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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Massachusetts rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $5,370 · 10th–90th $2,188$8,5110%20%10th90th$5,370Professionalmedian $3,802 · 10th–90th $1,905$5,7540%20%40%10th90th$3,802$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
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$6,025.60
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,466.84
Typical High
$21,379.62
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,388.44
Typical High
$5,370.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,754.40
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,691.53
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$5,754.40
Health New England
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,466.84
Typical High
$21,379.62
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,388.44
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,090.30
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,630.78
Typical High
$3,890.45