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Knee Joints, Polycentric, Below-Knee

Nebraska rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $646 · 10th–90th $398$1,3800%20%10th90th$646Professionalmedian $347 · 10th–90th $229$4790%20%40%10th90th$347$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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$707.95
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$630.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$707.95
Typical High
$1,698.24
Midlands
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$501.19