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Prosthetic Knee, Polycentric, Hydraulic Swing Control

New Jersey rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $1,622 · 10th–90th $1,622$4,4670%50%90th$1,622Professionalmedian $2,188 · 10th–90th $1,698$4,3650%10%20%10th90th$2,188$2.0K$5.0K$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
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,511.89
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,073.80
Typical High
$5,888.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$4,365.16