go back

Knee Joints, Polycentric, Below-Knee

Arizona rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $209$1,7380%10%10th90th$676Professionalmedian $355 · 10th–90th $251$8320%20%10th90th$355$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$251.19
Median
$354.81
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$891.25
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,659.59
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
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$524.81
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$446.68