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Joint Covers, Below-Knee

Massachusetts 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?

$41.69

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $38.02 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 9 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$41.69$22.91 to $41.69
FacilityA hospital or hospital-owned outpatient department$38.02$27.54 to $83.18

How much rates vary

Facilitymedian $38 · 10th to 90th $21 to $148Professionalmedian $42 · 10th to 90th $21 to $63
$20$100$500$2Kfacility $38professional $42

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
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.91
Typical High
$66.07
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$309.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$38.90
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$29.51
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$38.02
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$63.10
Health New England
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$309.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$38.90
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$36.31
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$39.81
Typical High
$42.66

Where Massachusetts 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.

Massachusetts· 12th of 51

$41.69

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.