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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Wisconsin rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $3,467$8,3180%20%40%10th90th$4,571Professionalmedian $4,266 · 10th–90th $2,239$7,5860%20%10th90th$4,266$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
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$7,585.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$10,471.29
Typical High
$23,442.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$6,606.93
Typical High
$8,709.64
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,715.35
Typical High
$5,623.41
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,495.41
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,466.84
Typical High
$20,892.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$5,011.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$2,951.21
Network Health
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,128.61
Typical High
$8,912.51
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,715.35
Typical High
$5,623.41
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$4,466.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,918.31
Typical High
$12,022.64
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$9,332.54
Typical High
$21,379.62
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$6,760.83
Typical High
$22,908.68
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,344.23
Typical High
$4,168.69