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Knee Joints, Polycentric, Below-Knee

Missouri rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $525 · 10th–90th $288$1,2020%20%10th90th$525Professionalmedian $363 · 10th–90th $295$7590%20%40%10th90th$363$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
$288.40
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$489.78