go back

Knee Joints, Polycentric, Below-Knee

Minnesota rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $1,148 · 10th–90th $575$5,4950%20%10th90th$1,148Professionalmedian $661 · 10th–90th $427$7760%50%10th90th$661$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
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$426.58
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$660.69
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,511.89
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$977.24
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,754.23
Typical High
$5,495.41
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$660.69
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$398.11
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$912.01