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Knee Joints, Polycentric, Below-Knee

Indiana rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $316$7410%20%40%10th90th$676Professionalmedian $347 · 10th–90th $282$5130%50%10th90th$347$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
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$478.63