go back

Prosthetic Knee, Polycentric, Hydraulic Swing Control

South Carolina rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $1,995$5,6230%20%10th90th$2,884Professionalmedian $2,239 · 10th–90th $1,905$3,3880%20%10th90th$2,239$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,168.69
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,073.80
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,511.89
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$5,248.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,630.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,388.44
Typical High
$7,079.46
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$3,090.30