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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 October 2026.

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

$4,571

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $4,786 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,467$2,399 to $4,786
FacilityA hospital or hospital-owned outpatient department$4,786$4,571 to $263,027

How much rates vary

Facilitymedian $4,786 · 10th to 90th $2,951 to $269,153Professionalmedian $4,467 · 10th to 90th $79 to $5,129
$100$1K$10K$100Kfacility $4,786professional $4,467

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$3,630.78
Typical High
$3,981.07
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,786.30
Typical High
$4,786.30
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$269,153.48
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$5,128.61
Typical High
$281,838.29
Providence
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$4,786.30
Typical High
$4,786.30
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,548.13
Typical High
$4,786.30
United
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$3,311.31

Where Montana sits

The same service costs 2.6 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· 2nd of 51

$4,571

HI $4,786DE $1,820

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.