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Knee Joints, Polycentric, Below-Knee

Alaska rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $389 · 10th–90th $191$9550%20%40%10th90th$389Professionalmedian $447 · 10th–90th $316$1,3800%10%20%10th90th$447$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$1,174.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$426.58
Typical High
$954.99
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$1,995.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,023.29
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$851.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$398.11
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$1,412.54