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Joint Covers, Below-Knee

Iowa rates for HCPCS L5678

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

Rates data updated July 2026.

How much does Joint Covers, Below-Knee cost?

$39.81

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $46.77 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$35.48$23.99 to $44.67
FacilityA hospital or hospital-owned outpatient department$46.77$39.81 to $75.86

How much rates vary

Facilitymedian $47 · 10th to 90th $32 to $135Professionalmedian $35 · 10th to 90th $20 to $63
$20$50$100$200facility $47professional $35

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.88
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$54.95
Typical High
$69.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$69.18
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$89.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$74.13
Midlands
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$51.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$53.70

Where Iowa sits

The same service costs 5.0 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 13th of 51

$39.81

HI $107DE $21.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.