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Prosthetic Knee, Polycentric, Hydraulic Swing Control

West Virginia rates for HCPCS L5814

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

Rates data updated July 2026.

How much does Prosthetic Knee, Polycentric, Hydraulic Swing Control cost?

$2,188

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $2,138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,291$2,138 to $2,344
FacilityA hospital or hospital-owned outpatient department$2,138$2,138 to $2,630

How much rates vary

Facilitymedian $2,138 · 10th to 90th $2,138 to $4,677Professionalmedian $2,291 · 10th to 90th $2,138 to $3,020
$2K$5K$10K$20Kfacility $2,138professional $2,291

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,344.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$6,025.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,630.27
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,754.23
Typical High
$3,630.78

Where West Virginia sits

The same service costs 2.5 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.

West Virginia· 44th of 51

$2,188

HI $4,786DE $1,950

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.