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Polycentric Knee Joint

Utah 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?

$112

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $91.20 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 7 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$112$83.18 to $200
FacilityA hospital or hospital-owned outpatient department$91.20$60.26 to $186

How much rates vary

Facilitymedian $91 · 10th to 90th $60 to $186Professionalmedian $112 · 10th to 90th $60 to $1,072
$100$200$500$1Kfacility $91professional $112

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
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$1,071.52
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
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$134.90
Typical High
$173.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$186.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$257.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$234.42
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$141.25

Where Utah 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.

Utah· 32nd of 51

$112

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.