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Prosthetic Knee, Polycentric, Hydraulic Swing Control

North Dakota 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?

$4,365

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $3,311 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,365$3,311 to $5,129
FacilityA hospital or hospital-owned outpatient department$3,311$3,311 to $3,715

How much rates vary

Facilitymedian $3,311 · 10th to 90th $2,512 to $8,128Professionalmedian $4,365 · 10th to 90th $1,995 to $5,248
$2K$5K$10K$20Kfacility $3,311professional $4,365

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,311.31
Typical High
$3,801.89
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$5,128.61
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$4,570.88
Median
$6,165.95
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$5,248.07
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$20,892.96
Medica
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$3,630.78
United
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$3,019.95
Typical High
$3,630.78

Where North Dakota 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.

North Dakota· 8th of 51

$4,365

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.