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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 October 2026.

How much does Prosthetic Knee, Polycentric, Hydraulic Swing Control cost?

$2,188

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $2,512 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$2,188$1,820 to $4,467
FacilityA hospital or hospital-owned outpatient department$2,512$2,188 to $2,512

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,698 to $4,467Professionalmedian $2,188 · 10th to 90th $1,622 to $4,467
$2K$5Kfacility $2,512professional $2,188

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
$1,621.81
Median
$1,621.81
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$812.83
Median
$812.83
Typical High
$977.24
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$323.59
Median
$323.59
Typical High
$389.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$239.88
Median
$239.88
Typical High
$295.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$162.18
Median
$162.18
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$5,888.44
Typical High
$5,888.44
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$4,265.80

Where New Jersey 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.

New Jersey· 47th of 51

$2,188

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.