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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Nebraska rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $2,630$9,1200%20%10th90th$4,571Professionalmedian $1,995 · 10th–90th $1,698$3,3880%20%40%10th90th$1,995$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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,265.80
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$5,248.07
Typical High
$9,332.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,897.79
Typical High
$20,892.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,691.53
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$12,022.64
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$11,220.18
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,715.35
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,630.27
Typical High
$3,467.37