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Polycentric Knee Joint

New Hampshire 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?

$170

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $251 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 6 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$151$112 to $219
FacilityA hospital or hospital-owned outpatient department$251$170 to $269

How much rates vary

Facilitymedian $251 · 10th to 90th $141 to $309Professionalmedian $151 · 10th to 90th $89 to $219
$100$200$500facility $251professional $151

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
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$117.49
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$97.72
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$218.78
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$354.81

Where New Hampshire 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.

New Hampshire· 9th of 51

$170

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.