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Knee Joints, Polycentric, Below-Knee

Illinois rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $331$3,4670%20%10th90th$676Professionalmedian $355 · 10th–90th $295$6920%20%40%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
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,288.25
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$707.95
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$912.01
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$588.84