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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Missouri rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $3,631 · 10th–90th $2,089$8,5110%20%10th90th$3,631Professionalmedian $2,692 · 10th–90th $1,995$5,3700%20%10th90th$2,692$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
$2,041.74
Median
$3,019.95
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,691.53
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,548.13
Typical High
$10,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,630.78
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$3,388.44