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Knee Joints, Polycentric, Below-Knee

Vermont rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $398 · 10th–90th $389$4680%50%10th90th$398Professionalmedian $389 · 10th–90th $372$4470%50%10th90th$389$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$1,584.89