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Joint Covers, Below-Knee

Kansas 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?

$42.66

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $38.90 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$42.66$33.88 to $42.66
FacilityA hospital or hospital-owned outpatient department$38.90$34.67 to $44.67

How much rates vary

Facilitymedian $39 · 10th to 90th $15 to $55Professionalmedian $43 · 10th to 90th $25 to $43
$20$50$100$200facility $39professional $43

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
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$28.18
Typical High
$40.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$37.15
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$38.90
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$26.92
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$43.65
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$38.02

Where Kansas 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.

Kansas· 11th of 51

$42.66

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.