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Knee Joints, Polycentric, Below-Knee

Idaho rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $389$8130%20%10th90th$603Professionalmedian $457 · 10th–90th $295$7240%20%10th90th$457$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
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$537.03
Typical High
$812.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$630.96
Typical High
$630.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$724.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$1,000.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$0.47
Median
$446.68
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$457.09