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Knee Joints, Polycentric, Below-Knee

North Carolina rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $468 · 10th–90th $263$1,1750%20%10th90th$468Professionalmedian $437 · 10th–90th $263$4570%50%10th90th$437$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
$436.52
Median
$436.52
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$446.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$489.78
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$457.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84