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Knee Joints, Polycentric, Below-Knee

South Dakota rates for HCPCS L5677

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

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $427$1,1480%20%10th90th$603Professionalmedian $575 · 10th–90th $490$9550%20%10th90th$575$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$562.34
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$4,365.16
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$707.95
Midlands
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,071.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$776.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96