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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Vermont 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?

$2,138

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $1,820 to $3,020.

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.

How much rates vary

Facilitymedian $2,512 · 10th to 90th $2,188 to $3,236Professionalmedian $2,138 · 10th to 90th $1,820 to $3,631
$2K$5K$10Kfacility $2,512professional $2,138

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
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$4,265.80
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$3,311.31
Typical High
$8,709.64

Where Vermont 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.

Vermont· 50th of 51

$2,138

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.