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Polycentric Knee Joint

Idaho rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Rates data updated July 2026.

How much does Polycentric Knee Joint cost?

$162

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $209 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 8 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$155$97.72 to $224
FacilityA hospital or hospital-owned outpatient department$209$162 to $224

How much rates vary

Facilitymedian $209 · 10th to 90th $105 to $288Professionalmedian $155 · 10th to 90th $85 to $257
$100$200$500facility $209professional $155

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$117.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$186.21
Typical High
$245.47
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$165.96
Typical High
$199.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$223.87
Typical High
$223.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$257.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$354.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$104.71
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$134.90

Where Idaho sits

The same service costs 2.6 times more in Wisconsin than in Nebraska. 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.

Idaho· 11th of 51

$162

WI $229NE $87.10

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.