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Joint Covers, Below-Knee

Indiana 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?

$26.92

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $48.98 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 5 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$26.30$22.91 to $29.51
FacilityA hospital or hospital-owned outpatient department$48.98$35.48 to $48.98

How much rates vary

Facilitymedian $49 · 10th to 90th $23 to $56Professionalmedian $26 · 10th to 90th $21 to $42
$20$50$100facility $49professional $26

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
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.44
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$48.98
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$36.31
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.99
Typical High
$36.31

Where Indiana 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.

Indiana· 39th of 51

$26.92

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.