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Knee Joints, Polycentric, Below-Knee

Virginia rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $309$7590%20%40%10th90th$603Professionalmedian $355 · 10th–90th $275$5890%20%10th90th$355$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
$309.03
Median
$309.03
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$758.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$758.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$398.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$467.74