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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Montana rates for HCPCS L5814

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

Rates data updated July 2026.

How much does Prosthetic Knee, Polycentric, Hydraulic Swing Control cost?

$3,802

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $4,467 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,631$2,399 to $4,467
FacilityA hospital or hospital-owned outpatient department$4,467$3,467 to $4,786

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,818 to $5,495Professionalmedian $3,631 · 10th to 90th $1,288 to $8,710
$100$200$500$1K$2K$5K$10Kfacility $4,467professional $3,631

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$3,630.78
Typical High
$19,054.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,786.30
Typical High
$4,786.30
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,466.84
Typical High
$8,709.64
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,466.84
Typical High
$8,709.64
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,168.69
Typical High
$6,456.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,548.13
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$3,090.30

Where Montana sits

The same service costs 2.5 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 8th of 51

$3,802

HI $4,786DE $1,950

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.