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Knee Joints, Polycentric, Below-Knee

South Carolina rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $398 · 10th–90th $263$8130%20%10th90th$398Professionalmedian $309 · 10th–90th $257$4470%20%10th90th$309$50.0$100.0$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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$288.40
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$776.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$446.68