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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 July 2026.

Facilitymedian $3,311 · 10th–90th $3,311$5,6230%50%90th$3,311Professionalmedian $4,266 · 10th–90th $2,399$5,4950%20%10th90th$4,266$2.0K$5.0K$10.0K$20.0K

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
$3,311.31
Median
$3,311.31
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,311.31
Typical High
$16,595.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,011.87
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$5,248.07
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,715.35
Typical High
$10,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,090.30
Typical High
$5,248.07