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Joint Covers, Below-Knee

North Dakota 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?

$54.95

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $44.67 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$57.54$44.67 to $69.18
FacilityA hospital or hospital-owned outpatient department$44.67$39.81 to $44.67

How much rates vary

Facilitymedian $45 · 10th to 90th $40 to $76Professionalmedian $58 · 10th to 90th $29 to $76
$20$50$100$200facility $45professional $58

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
$39.81
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$39.81
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$54.95
Typical High
$69.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$46.77
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$36.31
Typical High
$58.88

Where North Dakota 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.

North Dakota· 2nd of 51

$54.95

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.