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Knee Joints, Polycentric, Below-Knee

New Hampshire rates for HCPCS L5677

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

Rates data updated July 2026.

How much does Knee Joints, Polycentric, Below-Knee cost?

$537

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $813 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$537$363 to $692
FacilityA hospital or hospital-owned outpatient department$813$537 to $851

How much rates vary

Facilitymedian $813 · 10th to 90th $447 to $977Professionalmedian $537 · 10th to 90th $295 to $692
$500$1K$2Kfacility $813professional $537

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$446.68
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$407.38
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$691.83
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,122.02

Where New Hampshire sits

The same service costs 4.2 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 9th of 51

$537

HI $1,096DE $263

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.