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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Wyoming rates for HCPCS L5814

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

Rates data updated July 2026.

Facilitymedian $3,090 · 10th–90th $2,630$4,4670%20%10th90th$3,090Professionalmedian $3,631 · 10th–90th $1,995$4,4670%20%10th90th$3,631$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
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
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$3,090.30