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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 July 2026.

Facilitymedian $224 · 10th–90th $219$6030%20%40%10th90th$224Professionalmedian $309 · 10th–90th $229$5890%10%10th90th$309$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
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$794.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$588.84