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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Pennsylvania rates for HCPCS L5814

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

Rates data updated July 2026.

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

$2,138

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $6,607 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,138$1,950 to $2,818
FacilityA hospital or hospital-owned outpatient department$6,607$1,995 to $13,804

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,950 to $21,380Professionalmedian $2,138 · 10th to 90th $1,820 to $3,715
$2K$5K$10K$20K$50Kfacility $6,607professional $2,138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,137.96
Typical High
$3,388.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$6,309.57
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
$4,073.80
Median
$5,888.44
Typical High
$8,511.38
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,090.30
Typical High
$4,466.84
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$7,585.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,137.96
Typical High
$3,548.13
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$15,848.93
Typical High
$25,703.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,168.69
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$4,570.88

Where Pennsylvania sits

The same service costs 2.5 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.

Pennsylvania· 47th of 51

$2,138

HI $4,786DE $1,950

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.