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Prosthetic Knee, Polycentric, Hydraulic Swing Control

North Carolina rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $3,388 · 10th–90th $1,995$7,5860%20%10th90th$3,388Professionalmedian $3,388 · 10th–90th $1,950$3,4670%50%10th90th$3,388$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
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,388.44
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,511.89
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,818.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,238.72
Typical High
$2,951.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,630.78
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,238.72
Typical High
$3,162.28
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$33,113.11