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Knee Joints, Polycentric, Below-Knee

Louisiana rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $646 · 10th–90th $427$1,4130%20%10th90th$646Professionalmedian $427 · 10th–90th $251$6460%20%10th90th$427$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
$457.09
Median
$457.09
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,174.90
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$457.09