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Joint Covers, Below-Knee

Missouri 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?

$31.62

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $43.65 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 6 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$28.84$27.54 to $38.90
FacilityA hospital or hospital-owned outpatient department$43.65$35.48 to $54.95

How much rates vary

Facilitymedian $44 · 10th to 90th $25 to $102Professionalmedian $29 · 10th to 90th $23 to $65
$20$50$100$200facility $44professional $29

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
$24.55
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$36.31
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.84
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$18.62
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
$19.95
Median
$26.92
Typical High
$41.69

Where Missouri 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.

Missouri· 23rd of 51

$31.62

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.