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Joint Covers, Below-Knee

New Hampshire 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?

$32.36

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $48.98 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$32.36$28.84 to $41.69
FacilityA hospital or hospital-owned outpatient department$48.98$32.36 to $51.29

How much rates vary

Facilitymedian $49 · 10th to 90th $27 to $59Professionalmedian $32 · 10th to 90th $21 to $42
$20$50$100facility $49professional $32

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
$26.92
Median
$26.92
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.92
Typical High
$32.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$51.29
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$33.88
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$35.48
Typical High
$41.69
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$67.61

Where New Hampshire 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.

New Hampshire· 21st of 51

$32.36

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.