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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Utah rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $2,188 · 10th–90th $1,288$4,5710%20%40%10th90th$2,188Professionalmedian $2,512 · 10th–90th $1,288$19,0550%10%10th90th$2,512$50.0$200.0$1.0K$5.0K

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
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$19,054.61
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
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$3,311.31
Typical High
$4,265.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,570.88
Typical High
$4,570.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,235.94
Typical High
$4,897.79
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,466.84
Typical High
$4,570.88
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,630.27
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$3,090.30