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Knee Joints, Single Axis, Below-Knee

Wisconsin rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Rates data updated July 2026.

Facilitymedian $447 · 10th–90th $355$8130%50%10th90th$447Professionalmedian $417 · 10th–90th $219$7590%20%10th90th$417$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$416.87
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,023.29
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$645.65
Typical High
$831.76
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$549.54
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$676.08
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$436.52
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$295.12
Network Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Network Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$870.96
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$549.54
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$575.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,288.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$891.25
Typical High
$2,398.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$660.69
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$426.58