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Prosthetic Knee, Polycentric, Hydraulic Swing Control

South Dakota 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?

$4,467

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $6,310 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,467$3,020 to $4,898
FacilityA hospital or hospital-owned outpatient department$6,310$3,311 to $7,413

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,020 to $12,023Professionalmedian $4,467 · 10th to 90th $1,820 to $6,026
$2K$5K$10K$20Kfacility $6,310professional $4,467

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
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$5,248.07
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$7,413.10
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Midlands
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$8,128.31
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,570.88
Typical High
$5,248.07
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$3,019.95
Typical High
$3,548.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84

Where South Dakota 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.

South Dakota· 5th of 51

$4,467

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.