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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Rhode Island 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?

$2,455

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $7,244 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 4 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$2,455$1,905 to $2,570
FacilityA hospital or hospital-owned outpatient department$7,244$3,090 to $9,120

How much rates vary

Facilitymedian $7,244 · 10th to 90th $2,512 to $10,233Professionalmedian $2,455 · 10th to 90th $1,905 to $3,090
$2K$5K$10K$20Kfacility $7,244professional $2,455

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$8,709.64
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$3,890.45
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
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,511.89
Typical High
$3,630.78

Where Rhode Island 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.

Rhode Island· 31st of 51

$2,455

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.