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Knee Joints, Polycentric, Below-Knee

New Jersey rates for HCPCS L5677

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

Rates data updated October 2026.

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

$309

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $398 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$257 to $603
FacilityA hospital or hospital-owned outpatient department$398$398 to $398

How much rates vary

Facilitymedian $398 · 10th to 90th $372 to $603Professionalmedian $295 · 10th to 90th $219 to $603
$200$500facility $398professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$263.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$109.65
Typical High
$131.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$43.65
Median
$43.65
Typical High
$52.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$32.36
Median
$32.36
Typical High
$39.81
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$21.88
Median
$21.88
Typical High
$26.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$794.33
Typical High
$794.33
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$338.84
Typical High
$588.84

Where New Jersey sits

The same service costs 3.7 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 Jersey· 47th of 51

$309

HI $1,096DE $295

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.