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Polycentric Knee Joint

Ohio 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?

$123

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $234 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$123$112 to $155
FacilityA hospital or hospital-owned outpatient department$234$186 to $251

How much rates vary

Facilitymedian $234 · 10th to 90th $123 to $372Professionalmedian $123 · 10th to 90th $85 to $240
$100$200$500facility $234professional $123

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
$123.03
Median
$144.54
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$245.47
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$245.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$128.82
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$123.03
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$295.12
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$263.03
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$154.88

Where Ohio 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.

Ohio· 20th of 51

$123

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.