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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Minnesota rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $7,762 · 10th–90th $3,802$36,3080%20%10th90th$7,762Professionalmedian $4,467 · 10th–90th $3,090$5,2480%20%40%10th90th$4,467$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
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,311.31
Typical High
$3,715.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,466.84
Typical High
$6,606.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,982.44
Typical High
$46,773.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,888.44
Typical High
$6,606.93
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$18,620.87
Typical High
$36,307.81
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,079.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,466.84
Typical High
$20,892.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$2,630.27
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,691.53
Typical High
$6,165.95