go back

Prosthetic Knee, Polycentric, Hydraulic Swing Control

Michigan rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $5,495 · 10th–90th $2,570$18,1970%20%10th90th$5,495Professionalmedian $2,570 · 10th–90th $2,089$4,4670%20%10th90th$2,570$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
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$13,489.63
Typical High
$25,703.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,466.84
Typical High
$4,677.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$4,466.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$8,511.38
Typical High
$9,549.93
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,630.78
Typical High
$5,495.41
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,630.78
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,137.96
Typical High
$3,162.28