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Knee Joints, Polycentric, Below-Knee

Maryland rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $447 · 10th–90th $269$6030%20%40%10th90th$447Professionalmedian $316 · 10th–90th $257$4680%20%40%10th90th$316$200.0$500.0$1.0K$2.0K

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
$257.04
Median
$316.23
Typical High
$446.68
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$467.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$512.86