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Knee Joints, Polycentric, Below-Knee

Oregon rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $490$6460%20%40%10th90th$603Professionalmedian $490 · 10th–90th $263$7240%10%10th90th$490$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$354.81
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,318.26
Typical High
$1,584.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$724.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$645.65
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$812.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$562.34
Typical High
$676.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$2,511.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$0.47
Median
$398.11
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$562.34