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Knee Joints, Polycentric, Below-Knee

Massachusetts rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $347$2,4550%20%10th90th$479Professionalmedian $661 · 10th–90th $309$1,0470%20%40%10th90th$661$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$1,096.48
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$3,801.89
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$467.74
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,047.13
Health New England
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$3,801.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$691.83