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Knee Joints, Polycentric, Below-Knee

Wyoming rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $457 · 10th–90th $389$5750%20%10th90th$457Professionalmedian $513 · 10th–90th $295$6610%20%10th90th$513$200.0$500.0

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
$295.12
Median
$295.12
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
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
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$457.09