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Joint Covers, Below-Knee

Nebraska 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?

$27.54

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $54.95 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$27.54$27.54 to $28.84
FacilityA hospital or hospital-owned outpatient department$54.95$35.48 to $60.26

How much rates vary

Facilitymedian $55 · 10th to 90th $32 to $138Professionalmedian $28 · 10th to 90th $19 to $41
$20$50$100$200facility $55professional $28

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
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$27.54
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$58.88
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$58.88
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$31.62
Typical High
$53.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$144.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$41.69

Where Nebraska 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.

Nebraska· 36th of 51

$27.54

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.