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Knee Joints, Polycentric, Below-Knee

Iowa rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $562 · 10th–90th $398$1,5850%10%20%10th90th$562Professionalmedian $437 · 10th–90th $257$7760%20%10th90th$437$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
Facility
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$954.99
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$831.76
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$741.31
Typical High
$912.01
Midlands
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$630.96