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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 July 2026.

Facilitymedian $2,630 · 10th–90th $2,188$3,2360%20%40%10th90th$2,630Professionalmedian $2,344 · 10th–90th $2,138$3,0200%20%40%10th90th$2,344$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$8,709.64