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Joint Covers, Below-Knee

Maryland 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?

$25.12

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $25.12 for this service. Most negotiated rates run $22.39 to $27.54.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $21 to $49Professionalmedian $25 · 10th to 90th $21 to $35
$20$50$100$200facility $35professional $25

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
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$35.48
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$33.11
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
$29.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$35.48
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$38.02
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$41.69

Where Maryland 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.

Maryland· 43rd of 51

$25.12

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.