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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Texas rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $3,548 · 10th–90th $1,995$8,1280%10%20%10th90th$3,548Professionalmedian $2,188 · 10th–90th $1,820$3,9810%20%40%10th90th$2,188$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
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$3,981.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,691.53
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$4,570.88
Typical High
$4,570.88
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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$33,113.11
Typical High
$33,113.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,548.13
Typical High
$5,754.40
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,265.80
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,467.37
Typical High
$5,754.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,715.35
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,454.71
Typical High
$3,090.30
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,570.88
Typical High
$6,165.95