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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Oregon rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $4,266 · 10th–90th $3,311$4,4670%50%10th90th$4,266Professionalmedian $3,311 · 10th–90th $1,820$4,8980%20%10th90th$3,311$5.0$20.0$100.0$500.0$2.0K$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
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$3,715.35
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
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$8,912.51
Typical High
$10,715.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$4,570.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,548.13
Typical High
$4,897.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,265.80
Typical High
$4,466.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$4,786.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,630.78
Typical High
$4,897.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,801.89
Typical High
$4,570.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$16,982.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$2,691.53
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$3,801.89