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Knee Joints, Polycentric, Below-Knee

Hawaii rates for HCPCS L5677

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

Rates data updated October 2026.

How much does Knee Joints, Polycentric, Below-Knee cost?

$1,096

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $741 to $1,148.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $851 · 10th to 90th $398 to $851Professionalmedian $1,096 · 10th to 90th $661 to $1,175
$500$1Kfacility $851professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,412.54
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,174.90
Typical High
$1,174.90
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69

Where Hawaii sits

The same service costs 3.7 times more in Hawaii than in Delaware. 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.

Hawaii· 1st of 51

$1,096

HI $1,096DE $295

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.