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Knee Joints, Polycentric, Below-Knee

West Virginia rates for HCPCS L5677

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

Rates data updated October 2026.

How much does Knee Joints, Polycentric, Below-Knee cost?

$295

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $398 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$295 to $427
FacilityA hospital or hospital-owned outpatient department$398$398 to $398

How much rates vary

Facilitymedian $398 · 10th to 90th $398 to $692Professionalmedian $295 · 10th to 90th $288 to $661
$200$500$1K$2Kfacility $398professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
CareSource
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
CareSource
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$707.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$3,311.31
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$371.54
Typical High
$660.69

Where West Virginia sits

The same service costs 3.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 49th of 51

$295

HI $1,096DE $295

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.