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Knee Joints, Polycentric, Below-Knee

North Dakota rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $427 · 10th–90th $427$7240%50%90th$427Professionalmedian $562 · 10th–90th $355$7240%20%10th90th$562$200.0$500.0$1.0K$2.0K

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
$426.58
Median
$426.58
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$776.25