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Nationwide rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Facilitymedian $40 · 10th–90th $22$1260%20%10th90th$40Professionalmedian $29 · 10th–90th $20$550%20%40%10th90th$29$0.1$1.0$20.0$500.0$10.0K$200.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $25.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $29.51 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $36.31 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $46.77