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Knee Joints, Polycentric, Below-Knee

Texas rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $589 · 10th–90th $331$1,8200%10%10th90th$589Professionalmedian $372 · 10th–90th $269$6920%20%10th90th$372$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
$346.74
Median
$371.54
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$977.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$645.65
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$457.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$812.83
Typical High
$1,096.48